Active NPI
Marsha M Bradshaw, LMT
- Massage Therapist
- Sterling Heights, MI
National Provider Identifier
1669931200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4245509
- Practice address
- 36150 Dequindre Rd Ste 730
Sterling Heights, MI 48310-7142 - Phone
- (586) 979-4950
- NPI assigned
- Mar 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 4245509 | MI | Primary |
Addresses
Primary practice location
36150 Dequindre Rd Ste 730
Sterling Heights, MI 48310-7142
Mailing address
3132 Coolidge Hwy
Royal Oak, MI 48073-6845
Phone (248) 408-0907
Other practice location 1
3132 Coolidge Hwy
Royal Oak, MI 48073-6845
Phone (248) 408-0907
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4245509 | MI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael J Brown,D.C.,P.C. | Single Specialty | Past | Accepting new patients |
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": "1552435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1669931200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3132 COOLIDGE HWY",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736845",
"telephone_number": "248-408-0907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36150 DEQUINDRE RD STE 730",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483107142",
"telephone_number": "586-979-4950"
}
],
"practiceLocations": [
{
"address_1": "3132 Coolidge Hwy",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480736845",
"country_code": "US",
"telephone_number": "248-408-0907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADSHAW",
"first_name": "MARSHA",
"middle_name": "M",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-13",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "MI",
"license": "4245509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.