Active NPI
Megan Michelotti, LMT
- Massage Therapist
- Grandville, MI
National Provider Identifier
1346764974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- P048093
- Practice address
- 4289 Mohave CT SW
Grandville, MI 49418-1739 - Phone
- (260) 515-0558
- NPI assigned
- Jul 26, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | |||
| Massage Therapist | 225700000X | P048093 | MI | Primary |
Addresses
Primary practice location
4289 Mohave CT SW
Grandville, MI 49418-1739
Mailing address
4289 Mohave CT SW
Grandville, MI 49418-1739
Phone (260) 515-0558
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
| License | State | Type | Specialty |
|---|---|---|---|
| P048093 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1346764974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4289 MOHAVE CT SW",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494181739",
"telephone_number": "260-515-0558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4289 MOHAVE CT SW",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494181739",
"telephone_number": "260-515-0558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELOTTI",
"first_name": "MEGAN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "P048093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grandville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.