Lisa Marie Porzadek, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501000742 Issued in MI

Practice address

904 Riverbed Dr
St 27
Holly, MI 48442-1574

Phone

(248) 249-3854

Fax

(248) 382-5453

NPI assigned

Jan 6, 2016

Last updated

Jan 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1184080160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 RIVERBED DR",
            "address_2": "ST 27",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421574",
            "telephone_number": "248-249-3854",
            "fax_number": "248-382-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 RIVERBED DR",
            "address_2": "ST 27",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421574",
            "telephone_number": "248-249-3854",
            "fax_number": "248-382-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORZADEK",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501000742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Holly, MI
• Providers in Holly, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.