Active NPI
Michael Myers, LMT
- Massage Therapist
- Brighton, MI
National Provider Identifier
1710364914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M451387
- Practice address
- 830 W Grand River Ave
Brighton, MI 48116-2303 - Phone
- (810) 599-8231
- NPI assigned
- Apr 27, 2015
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | L672858 | MI | |
| Massage Therapist | 225700000X | M451387 | MI | Primary |
Addresses
Primary practice location
830 W Grand River Ave
Brighton, MI 48116-2303
Mailing address
5510 Curdy Rd
Howell, MI 48855-9775
Phone (810) 599-8231
Other practice location 1
7508 M E Cad Blvd
Clarkston, MI 48348-4281
Phone (248) 922-9200
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 |
|---|---|---|---|
| L672858 | MI | MD | Massage Therapist |
| M451387 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1710364914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 CURDY RD",
"city": "HOWELL",
"state": "MI",
"postal_code": "488559775",
"telephone_number": "810-599-8231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 W GRAND RIVER AVE",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481162303",
"telephone_number": "810-599-8231"
}
],
"practiceLocations": [
{
"address_1": "7508 M E Cad Blvd",
"address_purpose": "LOCATION",
"city": "Clarkston",
"state": "MI",
"postal_code": "483484281",
"country_code": "US",
"telephone_number": "248-922-9200",
"fax_number": "248-922-9700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "MICHAEL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "L672858",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "M451387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.