Active NPI
Mary Ellen Elizabeth McCarthy-Zang, LMT
- Massage Therapist
- Flushing, MI
National Provider Identifier
1154896751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 751011004
- Practice address
- 209 S Cherry St
Flushing, MI 48433-2020 - Phone
- (810) 487-9733
- Fax
- (810) 867-4938
- NPI assigned
- Oct 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 751011004 | MI | Primary |
Addresses
Primary practice location
209 S Cherry St
Flushing, MI 48433-2020
Mailing address
209 S Cherry St
Flushing, MI 48433-2020
Phone (810) 487-9733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7501011004 | Other | MI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 751011004 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1154896751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 S CHERRY ST",
"city": "FLUSHING",
"state": "MI",
"postal_code": "484332020",
"telephone_number": "810-487-9733",
"fax_number": "810-867-4938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 S CHERRY ST",
"city": "FLUSHING",
"state": "MI",
"postal_code": "484332020",
"telephone_number": "810-487-9733",
"fax_number": "810-867-4938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY-ZANG",
"first_name": "MARY ELLEN",
"middle_name": "ELIZABETH",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-10",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "751011004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "7501011004",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flushing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.