Active NPI
Jonathon Burroughs Stewart, LMT
- Massage Therapist
- Traverse City, MI
National Provider Identifier
1255178901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501015812
- Practice address
- 827 W Front St
Traverse City, MI 49684-2465 - Phone
- (231) 946-9246
- Fax
- (231) 946-0750
- NPI assigned
- Jul 10, 2024
- Sex
- Male
- 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 | 7501015812 | MI | Primary |
Addresses
Primary practice location
827 W Front St
Traverse City, MI 49684-2465
Mailing address
827 W Front St
Traverse City, MI 49684-2465
Phone (231) 946-9246
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 |
|---|---|---|---|
| 7501015812 | MI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River of Life Chiropractic and Wellness PLLC | Current | Accepting new patients | |
| Onthank Chiropractic Center | Past | Accepting new patients |
Locations
827 W Front St
Traverse City, MI 49684
Phone (231) 499-1371
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
- Traverse City, MI
- NPI 1134505795
-
- Chiropractor
- Traverse City, MI
- NPI 1841544954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1255178901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 W FRONT ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842465",
"telephone_number": "231-946-9246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 W FRONT ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842465",
"telephone_number": "231-946-9246",
"fax_number": "231-946-0750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "JONATHON",
"middle_name": "BURROUGHS",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501015812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.