Active NPI
Patricia Luise Krajovic, MBA
- Massage Therapist
- Plymouth, MI
National Provider Identifier
1497187363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 819 N Mill St
Plymouth, MI 48170-2189 - Phone
- (734) 416-5200
- Fax
- (734) 416-1127
- NPI assigned
- Aug 2, 2013
- Last updated
- Aug 2, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
819 N Mill St
Plymouth, MI 48170-2189
Mailing address
819 N Mill St
Plymouth, MI 48170-2189
Phone (734) 416-5200
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
- Credentials
- Master of Business Administration
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H L Acquisition | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375401600000",
"number": "1497187363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 N MILL ST",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481702189",
"telephone_number": "734-416-5200",
"fax_number": "734-416-1127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 N MILL ST",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481702189",
"telephone_number": "734-416-5200",
"fax_number": "734-416-1127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAJOVIC",
"first_name": "PATRICIA",
"middle_name": "LUISE",
"name_prefix": "Mrs.",
"credential": "MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-02",
"last_updated": "2013-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.