Organization Active NPI

Iheal Therapy

  • Multi-Specialty Clinic/Center
  • Dearborn, MI
National Provider Identifier
1356708648
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
7501004963 Issued in MI
Legal business name
IHEAL THERAPY
Practice address
10066 Dix
Dearborn, MI 48120-1551
Phone
(313) 213-1825
NPI assigned
Jan 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Authorized official

Name
Jinan M Berro
Title
Massage Therapist
Phone
(313) 213-1825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 7501004963 MI Primary

Addresses

Primary practice location

10066 Dix
Dearborn, MI 48120-1551

Mailing address

20512 Brookwood St
Dearborn Heights, MI 48127-2768
Phone (313) 213-1825

National Provider Directory

National Provider Directory

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": "1453075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453075200000",
    "number": "1356708648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20512 BROOKWOOD ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272768",
            "telephone_number": "313-213-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10066 DIX",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201551",
            "telephone_number": "313-213-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHEAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A",
        "authorized_official_last_name": "BERRO",
        "authorized_official_first_name": "JINAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "313-213-1825"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MI",
            "license": "7501004963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.