Individual provider Active NPI

Kimberley Jo Drain, NCMT

  • Massage Therapist
  • Trenton, MI
National Provider Identifier
1679911994
Registry record updated Jun 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
3939 Van Horn Rd
Trenton, MI 48183-4013
Phone
(313) 615-9992
NPI assigned
Jun 8, 2013
Last updated
Jun 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2013

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 NU Primary

Addresses

Primary practice location

3939 Van Horn Rd
Trenton, MI 48183-4013

Mailing address

3939 Van Horn Rd
Trenton, MI 48183-4013
Phone (313) 615-9992

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

NPI Registry JSON

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

{
    "created_epoch": "1370649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370649600000",
    "number": "1679911994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 VAN HORN RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834013",
            "telephone_number": "313-615-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 VAN HORN RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834013",
            "telephone_number": "313-615-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAIN",
        "first_name": "KIMBERLEY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "NCMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-08",
        "last_updated": "2013-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2013; 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.