Individual provider Active NPI

Lora Ann Williams, L.M.T,

  • Massage Therapist
  • Livonia, MI
National Provider Identifier
1629381074
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501011378 Issued in MI
Practice address
19992 Farmington Rd
Livonia, MI 48152-1409
Phone
(877) 725-5672
Fax
(877) 725-5672
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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 7501011378 MI Primary

Addresses

Primary practice location

19992 Farmington Rd
Livonia, MI 48152-1409

Mailing address

9571 Abington Ave
Detroit, MI 48227-1001
Phone (615) 423-9520

Other practice location 1

1992 Bishop Ave
Murfreesboro, TN 37127-5931
Phone (615) 530-7252

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
7501011378MIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1629381074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9571 ABINGTON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271001",
            "telephone_number": "615-423-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19992 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521409",
            "telephone_number": "877-725-5672",
            "fax_number": "877-725-5672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1992 Bishop Ave",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371275931",
            "country_code": "US",
            "telephone_number": "615-530-7252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LORA",
        "middle_name": "ANN",
        "credential": "L.M.T,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501011378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.