Faith Reanne Frontera, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501004084 Issued in MI

Practice address

22180 Pontiac TRL Ste E
South Lyon, MI 48178-9097

Phone

(248) 446-0155

Fax

(248) 446-0177

NPI assigned

Oct 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Spine and Extremity Institute of South Lyon, L.L.C.

  • Physical Therapist
  • South Lyon, MI
  • NPI 1811209968
  NPD
• Plymouth Physical Therapy Specialists Limited Partnership

  • Physical Therapist
  • Livonia, MI
  • NPI 1689691388
  NPD (past)

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1649814922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22180 PONTIAC TRL STE E",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789097",
            "telephone_number": "248-446-0155",
            "fax_number": "248-446-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22180 PONTIAC TRL STE E",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789097",
            "telephone_number": "248-446-0155",
            "fax_number": "248-446-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONTERA",
        "first_name": "FAITH",
        "middle_name": "REANNE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501004084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "7501004084",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Flores
• Deborah J Ford-Ditto, MA, LPC, CRC
• Greysen Andrew Foss, DO
• Kelly Frakes, LLPC
• Michelle Fras, M.A. CCC-SLP
• Debra L Gallop
• Sarah Hope Garbula, PTA
• Vincent Robert Gasparotto, PA-C
• Gateway Dental Care, PLC
• Generations Family Care

• Massage Therapist in South Lyon, MI
• Providers in South Lyon, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.