Active NPI
Tanya Hofmann, CMT
- Massage Therapist
- Hart, MI
National Provider Identifier
1497978951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- NONE
- Practice address
- 601 E Main St
Hart, MI 49420-1144 - Phone
- (231) 873-3577
- Fax
- (231) 873-3557
- NPI assigned
- Apr 11, 2007
- 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 | NONE | MI | Primary |
Addresses
Primary practice location
601 E Main St
Hart, MI 49420-1144
Mailing address
601 E Main St
Hart, MI 49420-1144
Phone (231) 873-3577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 848008 | Other | MI | ABMP MEMBER ID |
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 |
|---|---|---|---|
| NONE | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Michigan, LLC | Past | Accepting new patients | |
| Lakeside Comprehensive Rehabilitation Inc. | 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.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Fenton, MI
- NPI 1104337120
-
- Physical Therapy Clinic/Center
- Hart, MI
- NPI 1396779542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497978951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E MAIN ST",
"city": "HART",
"state": "MI",
"postal_code": "494201144",
"telephone_number": "231-873-3577",
"fax_number": "231-873-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E MAIN ST",
"city": "HART",
"state": "MI",
"postal_code": "494201144",
"telephone_number": "231-873-3577",
"fax_number": "231-873-3557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFMANN",
"first_name": "TANYA",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "NONE",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABMP MEMBER ID",
"identifier": "848008",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hart, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.