Active NPI
Amelia Lipovsky, LMT, CPT
- Massage Therapist
- Wixom, MI
National Provider Identifier
1215406426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501003674
- Practice address
- 28351 Beck Rd Ste G3
Wixom, MI 48393-4752 - Phone
- (248) 770-1875
- NPI assigned
- Nov 16, 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 | 7501003674 | MI | Primary |
Addresses
Primary practice location
28351 Beck Rd Ste G3
Wixom, MI 48393-4752
Mailing address
981 Round Lake Rd
White Lake, MI 48386-3262
Phone (248) 770-1875
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 |
|---|---|---|---|
| 7501003674 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1215406426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981 ROUND LAKE RD",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483863262",
"telephone_number": "248-770-1875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28351 BECK RD STE G3",
"city": "WIXOM",
"state": "MI",
"postal_code": "483934752",
"telephone_number": "248-770-1875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPOVSKY",
"first_name": "AMELIA",
"credential": "LMT, CPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-16",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501003674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wixom, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.