Active NPI
Jennie Mae Trombly, M.T.
- Massage Therapist
- Romulus, MI
National Provider Identifier
1518130301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 32530 Prescott St
Romulus, MI 48174-9718 - Phone
- (734) 753-4845
- NPI assigned
- Apr 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
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
32530 Prescott St
Romulus, MI 48174-9718
Mailing address
32530 Prescott St
Romulus, MI 48174-9718
Phone (734) 753-4845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 397619-00 | Other | MI | NATIONAL CERTIFICATION |
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
- Medical Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436486400000",
"number": "1518130301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32530 PRESCOTT ST",
"city": "ROMULUS",
"state": "MI",
"postal_code": "481749718",
"telephone_number": "734-753-4845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32530 PRESCOTT ST",
"city": "ROMULUS",
"state": "MI",
"postal_code": "481749718",
"telephone_number": "734-753-4845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROMBLY",
"first_name": "JENNIE",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-11",
"last_updated": "2015-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CERTIFICATION",
"identifier": "397619-00",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Romulus, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.