Individual provider Active NPI

Emily Diane Macinnis-Weir, LMT

  • Massage Therapist
  • Huntington Woods, MI
National Provider Identifier
1376154427
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501012026 Issued in MI
Practice address
26789 Woodward Ave Ste 103
Huntington Woods, MI 48070-1334
Phone
(248) 631-4728
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501012026 MI Primary

Addresses

Primary practice location

26789 Woodward Ave Ste 103
Huntington Woods, MI 48070-1334

Mailing address

15504 Chelsea
Redford, MI 48239-3841
Phone (734) 945-0639

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

LicenseStateTypeSpecialty
7501012026MIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1376154427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15504 CHELSEA",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393841",
            "telephone_number": "734-945-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26789 WOODWARD AVE STE 103",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701334",
            "telephone_number": "248-631-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACINNIS-WEIR",
        "first_name": "EMILY",
        "middle_name": "DIANE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501012026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.