NPIMap

Organization Active NPI

Therapeutic Body Shoppe, LLC

  • Massage Therapist
  • Norton Shores, MI
National Provider Identifier
1710278338
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501000434 Issued in MI
Legal business name
THERAPEUTIC BODY SHOPPE, LLC
Practice address
765 W Norton Ave
Norton Shores, MI 49441-4750
Phone
(231) 747-9163
Fax
(888) 224-6798
NPI assigned
Apr 29, 2011
Last updated
Sep 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Ms. Jody L Gregg, LMTNPI 1407095086
Title
Director/Therapist
Phone
(231) 747-9163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501000434 MI Primary
Mechanotherapist 172M00000X 7501000434 MI

Addresses

Primary practice location

765 W Norton Ave
Norton Shores, MI 49441-4750

Mailing address

765 W Norton Ave
Norton Shores, MI 49441-4750
Phone (231) 747-9163

Other identifiers 1

IdentifierTypeStateIssuer
140709086OtherMINPPES

National Provider Directory

National Provider Directory

Locations

765 W Norton Ave
Norton Shores, MI 49441
Phone (231) 747-9163

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1710278338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 W NORTON AVE",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414750",
            "telephone_number": "231-747-9163",
            "fax_number": "888-224-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 W NORTON AVE",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414750",
            "telephone_number": "231-747-9163",
            "fax_number": "888-224-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC BODY SHOPPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "231-747-9163",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501000434",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "MI",
            "license": "7501000434",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "140709086",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.