Active NPI
Patricia Lynn Hubert, C.M.T.
- Massage Therapist
- Spring Lake, MI
National Provider Identifier
1619224060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 19082 N Fruitport Rd
Spring Lake, MI 49456-1163 - Phone
- (616) 850-0580
- NPI assigned
- Aug 4, 2012
- 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
19082 N Fruitport Rd
Spring Lake, MI 49456-1163
Mailing address
18598 Woodduck Dr
Spring Lake, MI 49456-2900
Phone (616) 850-0580
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344038400000",
"number": "1619224060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18598 WOODDUCK DR",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494562900",
"telephone_number": "616-850-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19082 N FRUITPORT RD",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494561163",
"telephone_number": "616-850-0580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBERT",
"first_name": "PATRICIA",
"middle_name": "LYNN",
"credential": "C.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-04",
"last_updated": "2012-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.