Individual provider Active NPI

Takera A Lawery, LMT

  • Massage Therapist
  • Redford, MI
National Provider Identifier
1669078903
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501006887 Issued in MI
Practice address
26150 5 Mile Rd Ste 1D
Redford, MI 48239-3244
Phone
(313) 676-8889
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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 7501006887 MI Primary

Addresses

Primary practice location

26150 5 Mile Rd Ste 1D
Redford, MI 48239-3244

Mailing address

26150 5 Mile Rd Ste 1D
Redford, MI 48239-3244
Phone (313) 676-8889

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Takera'S Therapeutic Massage PLLC CurrentSince Mar 16, 2021 Accepting new patients

Locations

26150 5 Mile Rd
Ste 1D
Redford, MI 48239
Phone (313) 676-8889

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": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1669078903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26150 5 MILE RD STE 1D",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393244",
            "telephone_number": "313-676-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26150 5 MILE RD STE 1D",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393244",
            "telephone_number": "313-676-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWERY",
        "first_name": "TAKERA",
        "middle_name": "A",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501006887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.