Active NPI
Andrew John Pobocik, LMT
- Massage Therapist
- Swartz Creek, MI
National Provider Identifier
1588085120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- L2440742
- Practice address
- 6197 Miller Rd
Suite 4
Swartz Creek, MI 48473-1586 - Phone
- (810) 471-0007
- NPI assigned
- Dec 29, 2013
- Sex
- Male
- 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 | L2440742 | MI | Primary |
Addresses
Primary practice location
6197 Miller Rd
Suite 4
Swartz Creek, MI 48473-1586
Mailing address
6197 Miller Rd
Suite 4
Swartz Creek, MI 48473-1586
Phone (810) 471-0007
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 |
|---|---|---|---|
| L2440742 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388275200000",
"number": "1588085120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6197 MILLER RD",
"address_2": "SUITE 4",
"city": "SWARTZ CREEK",
"state": "MI",
"postal_code": "484731586",
"telephone_number": "810-471-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6197 MILLER RD",
"address_2": "SUITE 4",
"city": "SWARTZ CREEK",
"state": "MI",
"postal_code": "484731586",
"telephone_number": "810-471-0007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POBOCIK",
"first_name": "ANDREW",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-29",
"last_updated": "2013-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "L2440742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Swartz Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.