Active NPI
Kathleen A Redlawsk
- Massage Therapist
- Southfield, MI
National Provider Identifier
1346511060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 21700 Northwestern Hwy
Suite 110
Southfield, MI 48075-4906 - Phone
- (248) 809-9941
- Fax
- (248) 809-2480
- NPI assigned
- Jan 26, 2012
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
21700 Northwestern Hwy
Suite 110
Southfield, MI 48075-4906
Mailing address
47100 Schoenherr Rd
Suite D
Shelby Township, MI 48315-4716
Phone (586) 685-0505
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Active Physical Therapy Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Farmington Hills, MI
- NPI 1437117934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1346511060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47100 SCHOENHERR RD",
"address_2": "SUITE D",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483154716",
"telephone_number": "586-685-0505",
"fax_number": "586-685-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21700 NORTHWESTERN HWY",
"address_2": "SUITE 110",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754906",
"telephone_number": "248-809-9941",
"fax_number": "248-809-2480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDLAWSK",
"first_name": "KATHLEEN",
"middle_name": "A",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-26",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_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 Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.