Individual provider Active NPI

Cassandra L Roberts, LICENSED MASSAGE THE

  • Massage Therapist
  • Frankenmuth, MI
National Provider Identifier
1295374874
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501014816 Issued in MI
Practice address
526 W. Genesee Street
Suite 4
Frankenmuth, MI 48734
Phone
(989) 652-2577
Fax
(989) 652-4776
NPI assigned
Dec 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-13075 AZ
Massage Therapist 225700000X 7501014816 MI Primary

Addresses

Primary practice location

526 W. Genesee Street
Suite 4
Frankenmuth, MI 48734

Mailing address

526 W. Genesee Street
Suite 4
Frankenmuth, MI 48734
Phone (989) 652-2577

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

LicenseStateTypeSpecialty
MT-13075AZMDMassage Therapist
7501014816MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Chiro Corporation CurrentSince Jan 28, 2024 Accepting new patients
Frank Management PastSince Jan 1, 2020 Accepting new patients

Locations

526 W Genesee St
Ste 4
Frankenmuth, MI 48734
Phone (989) 652-2577

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.

NPI Registry JSON

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1295374874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 W. GENESEE STREET",
            "address_2": "SUITE 4",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "48734",
            "telephone_number": "989-652-2577",
            "fax_number": "989-652-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 W. GENESEE STREET",
            "address_2": "SUITE 4",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "48734",
            "telephone_number": "989-652-2577",
            "fax_number": "989-652-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CASSANDRA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "LICENSED MASSAGE THE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2024-01-24",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-13075",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501014816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankenmuth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.

Verify at the official NPI Registry.