NPIMap

Individual provider Active NPI

Bertha M Dennis, NCMT

  • Massage Therapist
  • Caro, MI
National Provider Identifier
1629208343
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
563458-08 Issued in MI
Practice address
Community Therapy 519 Pearl Street
Caro, MI 48723
Phone
(989) 325-1526
NPI assigned
Jul 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 563458-08 MI Primary

Addresses

Primary practice location

Community Therapy 519 Pearl Street
Caro, MI 48723

Mailing address

Community Therapy 519 Pearl Street
Caro, MI 48723
Phone (989) 325-1526

Other names 1

  • Mrs. Beth M Dennis Other name

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
563458-08MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Therapy Massage Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1629208343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMMUNITY THERAPY 519 PEARL STREET",
            "city": "CARO",
            "state": "MI",
            "postal_code": "48723",
            "telephone_number": "989-325-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMUNITY THERAPY 519 PEARL STREET",
            "city": "CARO",
            "state": "MI",
            "postal_code": "48723",
            "telephone_number": "989-325-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "BERTHA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NCMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "563458-08",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "DENNIS",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "NCMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.