Individual provider Active NPI

Rheannon Bateman, LMT, HT (ASCP)

  • Massage Therapist
  • East Lansing, MI
National Provider Identifier
1174011555
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501007006 Issued in MI
Practice address
780 W Lake Lansing Rd Ste 400
East Lansing, MI 48823-8452
Phone
(517) 575-6362
NPI assigned
May 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501007006 MI Primary

Addresses

Primary practice location

780 W Lake Lansing Rd Ste 400
East Lansing, MI 48823-8452

Mailing address

3969 Aurelius Rd
Onondaga, MI 49264-9720
Phone (517) 449-4858

Other practice location 1

3969 Aurelius rd
Onondaga, MI 49264
Phone (517) 449-4858

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

LicenseStateTypeSpecialty
7501007006MIMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1174011555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3969 AURELIUS RD",
            "city": "ONONDAGA",
            "state": "MI",
            "postal_code": "492649720",
            "telephone_number": "517-449-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 W LAKE LANSING RD STE 400",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238452",
            "telephone_number": "517-575-6362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3969 Aurelius rd",
            "address_purpose": "LOCATION",
            "city": "Onondaga",
            "state": "MI",
            "postal_code": "49264",
            "country_code": "US",
            "telephone_number": "517-449-4858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "RHEANNON",
        "credential": "LMT, HT (ASCP)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501007006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.