Nitrice Bradley, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501004887 Issued in MI

Practice address

17320 Livernois Ave
Detroit, MI 48221-2759

Phone

(248) 327-6129

Fax

(844) 579-0088

NPI assigned

Dec 12, 2024

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

Practice roles

Locations

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.

• J . Porter Services LLC

  • Massage Therapist
  • Detroit, MI
  • NPI 1952871873

  Single Specialty

  NPD

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1326855412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 PETERBORO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012386",
            "telephone_number": "313-768-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17320 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212759",
            "telephone_number": "248-327-6129",
            "fax_number": "844-579-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "NITRICE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501004887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Bradley
• Lisa Bradley, RN
• Marcas Steven Bradley Sr.
• Meredith Virginia Bradley, MD
• Mitchell R Bradley, CRNA
• Patrick Bradley, MD
• Stephen Jerome Bradley, M.D.
• Thomas Edward Bradley Jr., CPRC
• Ann Marie Brady, LMSW
• Erin J Brady, CRNA

• Massage Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.