Individual provider Active NPI

Rebecca Ann Hansen

  • Massage Therapist
  • Richmond, MI
National Provider Identifier
1396205167
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501000418 Issued in MI
Practice address
66990 Gratiot Ave
Richmond, MI 48062-1913
Phone
(586) 727-8900
NPI assigned
Mar 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 7501000418 MI Primary

Addresses

Primary practice location

66990 Gratiot Ave
Richmond, MI 48062-1913

Mailing address

37150 Hebel Rd
Richmond, MI 48062-4916
Phone (810) 217-3605

Other practice location 1

37150 Hebel Rd
Richmond, MI 48062-4916
Phone (810) 217-3605

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
7501000418MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Landis Chiropractic & Wellness PLLC Past Accepting new patients
Varga Family Chiropractic, PLLC Single Specialty Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1396205167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37150 HEBEL RD",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480624916",
            "telephone_number": "810-217-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66990 GRATIOT AVE",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621913",
            "telephone_number": "586-727-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37150 Hebel Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "MI",
            "postal_code": "480624916",
            "country_code": "US",
            "telephone_number": "810-217-3605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501000418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.