Miracle Therapy & Massage Center Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MIRACLE THERAPY & MASSAGE CENTER INC.

Practice address

30500 Northwestern Hwy Ste 316C
Farmington Hills, MI 48334-3159

Phone

(248) 539-8781

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Boris Berkovich

Title

Manager

Phone

(248) 539-8781

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508877945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30500 NORTHWESTERN HWY STE 316C",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30500 NORTHWESTERN HWY STE 316C",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343159",
            "telephone_number": "248-539-8781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3272 E 12 Mile Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480925622",
            "country_code": "US",
            "telephone_number": "586-920-2596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5047 Ventura Dr",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334848381",
            "country_code": "US",
            "telephone_number": "124-893-5664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIRACLE THERAPY & MASSAGE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "BERKOVICH",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-539-8781"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amber Miracle
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• Miracles for Mom'S and Babes

• Physical Therapist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.