Nicole Coleman, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501015037 Issued in MI

Practice address

330 E Maple Rd Ste H
Troy, MI 48083-2706

Phone

(248) 795-5196

NPI assigned

May 27, 2022

Last updated

May 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

• Michigan Massage and Wellness

  • Massage Therapist
  • Troy, MI
  • NPI 1487211322
  NPD (past)

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1659010700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E MAPLE RD STE H",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832706",
            "telephone_number": "248-795-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E MAPLE RD STE H",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832706",
            "telephone_number": "248-795-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "NICOLE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501015037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMT",
            "identifier": "7501015037",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jory Colby, PHARMACIST
• Tyler Douglas Colby
• Cole Vision Corporation (Sears Optical #C0223)
• Christina Cole, D.C.
• Bobby Coleman
• Jessica Vanessa Collado, MA, LLPC
• Cierra Carnae Collier
• Jaime Collins, MA, LPC, NCC
• Femie Collinson, P.A.-C.
• Jeffrey J Colton, MD

• Massage Therapist in Troy, MI
• Providers in Troy, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.