Active NPI
Maureen Margaret Moore, MT
- Massage Therapist
- Portage, MI
National Provider Identifier
1316240609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7529
- Practice address
- 1525 Greenview Ave
Portage, MI 49024-3322 - Phone
- (949) 584-3507
- NPI assigned
- Dec 8, 2010
- 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 | 7529 | CA | Primary |
Addresses
Primary practice location
1525 Greenview Ave
Portage, MI 49024-3322
Mailing address
1525 Greenview Ave
Portage, MI 49024-3322
Phone (949) 584-3507
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1316240609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 GREENVIEW AVE",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490243322",
"telephone_number": "949-584-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 GREENVIEW AVE",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490243322",
"telephone_number": "949-584-3507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MAUREEN",
"middle_name": "MARGARET",
"name_prefix": "Ms.",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-08",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "7529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.