Individual provider Active NPI

Tammy Lynn Trott, MT, DOM, LIC. ACUP

  • Massage Therapist
  • East Lansing, MI
National Provider Identifier
1275260598
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501011175 Issued in MI
Practice address
2045 Asher CT Ste 100
East Lansing, MI 48823-8444
Phone
(517) 351-9240
Fax
(517) 351-9242
NPI assigned
Aug 5, 2022
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 5402000170 MI
Massage Therapist 225700000X 7501011175 MI Primary

Addresses

Primary practice location

2045 Asher CT Ste 100
East Lansing, MI 48823-8444

Mailing address

14082 Reed Rd
Byron, MI 48418-8889
Phone (505) 930-2494

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
5402000170MIMDAcupuncturist
7501011175MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Wellness Inc Single Specialty CurrentSince Aug 7, 2022 Accepting new patients

Locations

2045 Asher Ct
#100
East Lansing, MI 48823
Phone (517) 351-9240

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1275260598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14082 REED RD",
            "city": "BYRON",
            "state": "MI",
            "postal_code": "484188889",
            "telephone_number": "505-930-2494",
            "fax_number": "517-351-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 ASHER CT STE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238444",
            "telephone_number": "517-351-9240",
            "fax_number": "517-351-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTT",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "credential": "MT, DOM, LIC. ACUP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MI",
            "license": "5402000170",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501011175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.