Active NPI
Brittany Nelson, PTA/LMT
- Massage Therapist
- Flushing, MI
National Provider Identifier
1497341226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 750101143
- Practice address
- 209 S Cherry St
Flushing, MI 48433-2020 - Phone
- (810) 487-9733
- NPI assigned
- Dec 16, 2020
- Last updated
- Dec 16, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502006189 | MI | |
| Massage Therapist | 225700000X | 750101143 | MI | Primary |
Addresses
Primary practice location
209 S Cherry St
Flushing, MI 48433-2020
Mailing address
209 S Cherry St
Flushing, MI 48433-2020
Phone (810) 487-9733
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 |
|---|---|---|---|
| 5502006189 | MI | MD | Physical Therapy Assistant |
| 750101143 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1497341226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 S CHERRY ST",
"city": "FLUSHING",
"state": "MI",
"postal_code": "484332020",
"telephone_number": "810-487-9733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 S CHERRY ST",
"city": "FLUSHING",
"state": "MI",
"postal_code": "484332020",
"telephone_number": "810-487-9733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "BRITTANY",
"credential": "PTA/LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-16",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502006189",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "750101143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.