Individual provider Active NPI

Alex Rakhmiel Zikherman, LMT

  • Massage Therapist
  • West Bloomfield, MI
National Provider Identifier
1306530092
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501015548 Issued in MI
Practice address
6525 W Maple Rd Ste a
West Bloomfield, MI 48322-4302
Phone
(248) 562-7846
Fax
(248) 562-7858
NPI assigned
Jun 6, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501015548 MI Primary

Addresses

Primary practice location

6525 W Maple Rd Ste a
West Bloomfield, MI 48322-4302

Mailing address

7158 Indian Creek Dr
West Bloomfield, MI 48322-3119
Phone (248) 756-0857

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
7501015548MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Resurgence Physical Therapy Services PC CurrentSince Jun 11, 2023 Accepting new patients
Michigan Orthopaedic Surgeons, PLLC PastSince Jun 11, 2023 Accepting new patients

Locations

6525 W Maple Rd
Ste A
West Bloomfield, MI 48322
Phone (248) 206-7883

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1306530092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7158 INDIAN CREEK DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223119",
            "telephone_number": "248-756-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 W MAPLE RD STE A",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224302",
            "telephone_number": "248-562-7846",
            "fax_number": "248-562-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIKHERMAN",
        "first_name": "ALEX",
        "middle_name": "RAKHMIEL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501015548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.