Active NPI
Emily Andersen
- Massage Therapist
- Spring Lake, MI
National Provider Identifier
1174337208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501014945
- Practice address
- 510 W Savidge St Ste E
Spring Lake, MI 49456-3108 - Phone
- (231) 557-1838
- Fax
- (616) 850-0950
- NPI assigned
- Feb 7, 2025
- Last updated
- Feb 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 7501014945 | MI | Primary |
Addresses
Primary practice location
510 W Savidge St Ste E
Spring Lake, MI 49456-3108
Mailing address
510 W Savidge St Ste E
Spring Lake, MI 49456-3108
Phone (231) 557-1838
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 |
|---|---|---|---|
| 7501014945 | MI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sara Young, PLLC | Current | Accepting new patients | |
| Jason J Tiel DC PLLC | Past | Accepting new patients |
Locations
510 W Savidge St
Ste E
Spring Lake, MI 49456
Phone (231) 287-2035
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1174337208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 W SAVIDGE ST STE E",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494563108",
"telephone_number": "231-557-1838",
"fax_number": "616-850-0950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 W SAVIDGE ST STE E",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494563108",
"telephone_number": "231-557-1838",
"fax_number": "616-850-0950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-07",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501014945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.