Organization Active NPI

Accident Recovery Therapeutic Massage LLC

  • Massage Therapist
  • Ypsilanti, MI
National Provider Identifier
1649077116
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ACCIDENT RECOVERY THERAPEUTIC MASSAGE LLC
Doing business as
A. R. T. MASSAGE
Practice address
2900 Packard Rd Ste 1a
Ypsilanti, MI 48197-2061
Phone
(248) 417-5352
Fax
(888) 793-5313
NPI assigned
Mar 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Kelsey Lee Wallace Jr., L.M.T.NPI 1063870418
Title
Owner
Phone
(248) 417-5352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

2900 Packard Rd Ste 1a
Ypsilanti, MI 48197-2061

Mailing address

16500 Joy Rd # 258
Detroit, MI 48228-0632
Phone (248) 417-5352

Other names 1

  • A. R. T. MASSAGE Doing business as

National Provider Directory

National Provider Directory

Locations

2900 Packard Rd
Ste 1A
Ypsilanti, MI 48197
Phone (248) 417-5352

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1649077116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 JOY RD # 258",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482280632",
            "telephone_number": "248-417-5352",
            "fax_number": "888-793-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 PACKARD RD STE 1A",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972061",
            "telephone_number": "248-417-5352",
            "fax_number": "888-793-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCIDENT RECOVERY THERAPEUTIC MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-02",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-417-5352",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A. R. T. MASSAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.