Jodie Stephens, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501004789 Issued in MI

Practice address

31789 Alvin St
Garden City, MI 48135-1324

Phone

(734) 419-3763

NPI assigned

Jan 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488672000000",
    "number": "1306383054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31789 ALVIN ST",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351324",
            "telephone_number": "734-419-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31789 ALVIN ST",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351324",
            "telephone_number": "734-419-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JODIE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501004789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spirit Obstetrics and Gynecology
• Sruthi Sripada, MD
• Tyler Steele
• Stephen a Florkowski DDS PC
• Stephen B Goldfarb DO PC
• Conishia Jewel Steward, DO
• Calvin Stewart Jr., CRNA
• Ryan Stiles, DO
• Sawsan Suliman
• Narasaraju Raju Suraparaju, MD

• Massage Therapist in Garden City, MI
• Providers in Garden City, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2017; 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.