Active NPI
Sandra Elaine Warner
- Massage Therapist
- Saint Johns, MI
National Provider Identifier
1194599753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501015769
- Practice address
- 103 N Clinton Ave
Saint Johns, MI 48879-1501 - Phone
- (517) 915-8157
- NPI assigned
- Nov 14, 2023
- 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 | 7501015769 | MI | Primary |
Addresses
Primary practice location
103 N Clinton Ave
Saint Johns, MI 48879-1501
Mailing address
2400 Green Rd
Saint Johns, MI 48879-8113
Phone (517) 915-8157
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 |
|---|---|---|---|
| 7501015769 | MI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chambers Walk-in Chiropractic LLC | Past | Accepting new patients | |
| Jack K Martin DC PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Dewitt, MI
- NPI 1265706659
-
- Chiropractor
- Dewitt, MI
- NPI 1215587233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1194599753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 GREEN RD",
"city": "SAINT JOHNS",
"state": "MI",
"postal_code": "488798113",
"telephone_number": "517-915-8157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N CLINTON AVE",
"city": "SAINT JOHNS",
"state": "MI",
"postal_code": "488791501",
"telephone_number": "517-915-8157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "SANDRA",
"middle_name": "ELAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-14",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501015769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Johns, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.