Individual provider Active NPI

Phillip Reece, PROFSSIONAL

  • Massage Therapist
  • Sterling Heights, MI
National Provider Identifier
1598435323
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501006805 Issued in MI
Practice address
9001 15 Mile Rd Ste C
Sterling Heights, MI 48312-3621
Phone
(586) 604-1704
Fax
(586) 983-8135
NPI assigned
Sep 14, 2021
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X
Massage Therapist 225700000X 7501006805 MI Primary

Addresses

Primary practice location

9001 15 Mile Rd Ste C
Sterling Heights, MI 48312-3621

Mailing address

9001 15 Mile Rd
Sterling Heights, MI 48312-3621
Phone (586) 983-8133

Other identifiers 1

IdentifierTypeStateIssuer
85-1437367OtherMIMESSAGE THERAPIST

Other names 1

  • Mrs. Merel Ghanim Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Schwartzcenterservices@gmail.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
7501006805MIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1598435323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123621",
            "telephone_number": "586-983-8133",
            "fax_number": "586-983-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 15 MILE RD STE C",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123621",
            "telephone_number": "586-604-1704",
            "fax_number": "586-983-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REECE",
        "first_name": "PHILLIP",
        "credential": "PROFSSIONAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501006805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MESSAGE THERAPIST",
            "identifier": "85-1437367",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Schwartzcenterservices@gmail.com",
            "affiliation": "N",
            "endpointDescription": "MESSAGE THERAPIST",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Schwartzcenterservices@gmail.com",
            "address_1": "9001 15 Mile Rd Ste C",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483123621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEREL",
            "last_name": "GHANIM",
            "prefix": "MRS.",
            "credential": "ALLAN DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.