Organization Active NPI

Break for Massage

  • Massage Therapist
  • Southfield, MI
National Provider Identifier
1336616853
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BREAK FOR MASSAGE
Practice address
3000 Town Ctr Ste 58
Southfield, MI 48075-1120
Phone
(248) 397-4050
Fax
(248) 397-4050
NPI assigned
Nov 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Authorized official

Name
Lauren Bass, LMTNPI 1427525948
Title
Operations Manager
Phone
(734) 330-3080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

3000 Town Ctr Ste 58
Southfield, MI 48075-1120

Mailing address

3000 Town Ctr Ste 58
Southfield, MI 48075-1120
Phone (248) 397-4050

National Provider Directory

National Provider Directory

Locations

3000 Town Ctr
Ste 58
Southfield, MI 48075
Phone (248) 397-4050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1336616853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 TOWN CTR STE 58",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751120",
            "telephone_number": "248-397-4050",
            "fax_number": "248-397-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 TOWN CTR STE 58",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751120",
            "telephone_number": "248-397-4050",
            "fax_number": "248-397-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAK FOR MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "734-330-3080",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.