Active NPI
Thomas Emery Snyder, MASSAGE THERAPIST
- Massage Therapist
- Portage, MI
National Provider Identifier
1356867337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501001010
- Practice address
- 210 E Centre Street
Portage, MI 49002-4900 - Phone
- (269) 327-3689
- Fax
- (269) 327-3689
- NPI assigned
- Aug 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 7501001010 | MI | Primary |
Addresses
Primary practice location
210 E Centre Street
Portage, MI 49002-4900
Mailing address
55691 Buckhorn Road
Three Rivers, MI 49093
Phone (269) 816-8780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7501001010 | Other | MI | STATE OF MICHIGAN |
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 |
|---|---|---|---|
| 7501001010 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503273600000",
"number": "1356867337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55691 BUCKHORN ROAD",
"city": "THREE RIVERS",
"state": "MI",
"postal_code": "49093",
"telephone_number": "269-816-8780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E CENTRE STREET",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490024900",
"telephone_number": "269-327-3689",
"fax_number": "269-327-3689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "THOMAS",
"middle_name": "EMERY",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-21",
"last_updated": "2017-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501001010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN",
"identifier": "7501001010",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.