Active NPI
Virginia Krewson
- Massage Therapist
- Grand Rapids, MI
National Provider Identifier
1558116772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501012035
- Practice address
- 2050 Breton Rd SE
Grand Rapids, MI 49546-5572 - Phone
- (616) 259-7131
- NPI assigned
- Apr 22, 2024
- 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 | 7501012035 | MI | Primary |
Addresses
Primary practice location
2050 Breton Rd SE
Grand Rapids, MI 49546-5572
Mailing address
410 Russell St
Middleville, MI 49333-9602
Phone (315) 286-8295
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 |
|---|---|---|---|
| 7501012035 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1558116772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 RUSSELL ST",
"city": "MIDDLEVILLE",
"state": "MI",
"postal_code": "493339602",
"telephone_number": "315-286-8295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 BRETON RD SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495465572",
"telephone_number": "616-259-7131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREWSON",
"first_name": "VIRGINIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501012035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.