Active NPI
Denise Ann Perry, LICENSED MASSAGE THE
- Massage Therapist
- Fenton, MI
National Provider Identifier
1295102838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501002101
- Practice address
- 12298 Windsor Beach Dr
Fenton, MI 48430-9728 - Phone
- (810) 240-3388
- NPI assigned
- Aug 31, 2015
- Last updated
- Aug 31, 2015
- 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 | 7501002101 | MI | Primary |
Addresses
Primary practice location
12298 Windsor Beach Dr
Fenton, MI 48430-9728
Mailing address
12298 Windsor Beach Dr
Fenton, MI 48430-9728
Phone (810) 240-3388
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 |
|---|---|---|---|
| 7501002101 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1295102838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12298 WINDSOR BEACH DR",
"city": "FENTON",
"state": "MI",
"postal_code": "484309728",
"telephone_number": "810-240-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12298 WINDSOR BEACH DR",
"city": "FENTON",
"state": "MI",
"postal_code": "484309728",
"telephone_number": "810-240-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "DENISE",
"middle_name": "ANN",
"credential": "LICENSED MASSAGE THE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-31",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501002101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fenton, MI
- Kari Elizabeth Parnell, M.A. SLP
- Skyler Allen Partee
- Breanne Teresa Passalacqua, M.A.,LPC
- Sarah Lynn Paxton, D.D.S.
- Erica Marie Peabody, D.C.
- Elizabeth Marie Phillips, LCSW
- Jamie G. Phillips, D.C.
- Physiotherapy Associates Inc (NovaCare Rehabilitation)
- Tiffany Pijor, PHARMD
- Madison Rose Pitcher, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.