Active NPI
Annette Mozurkewich
- Massage Therapist
- Mt Pleasant, MI
National Provider Identifier
1215735444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501004987
- Practice address
- 600 E Broadway St Ste 110
Mount Pleasant, MI 48858-2776 - Phone
- (989) 317-7789
- NPI assigned
- Mar 4, 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 | 7501004987 | MI | Primary |
Addresses
Primary practice location
600 E Broadway St Ste 110
Mount Pleasant, MI 48858-2776
Mailing address
5109 House Dr
Rosebush, MI 48878-9791
Phone (989) 317-7789
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 |
|---|---|---|---|
| 7501004987 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1215735444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5109 HOUSE DR",
"city": "ROSEBUSH",
"state": "MI",
"postal_code": "488789791",
"telephone_number": "989-317-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E BROADWAY ST STE 110",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488582776",
"telephone_number": "989-317-7789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOZURKEWICH",
"first_name": "ANNETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-04",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501004987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, MI
- Mount Pleasant Physical Therapy
- Mountain Town Family Practice
- Mountain Town Rehab, Inc
- Michael James Moutsatson, D.O.
- Tamara J Moutsatson, DO
- Bhekumusa Msibi, D.O.
- Mt Pleasant Chiropractic PLLC (Whitford Chiropractic Clinic)
- Mt Pleasant Counseling
- Mt Pleasant Counseling PLLC
- Mt Pleasant Family Dental Center PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.