Active NPI
Brooke Wilson
- Massage Therapist
- Taylor, MI
National Provider Identifier
1710440037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501006614
- Practice address
- 9372 E Pickwick Cir BLDG 14
Taylor, MI 48180-3854 - Phone
- (248) 800-6622
- NPI assigned
- Apr 12, 2019
- Last updated
- Apr 12, 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 | 7501006614 | MI | Primary |
Addresses
Primary practice location
9372 E Pickwick Cir BLDG 14
Taylor, MI 48180-3854
Mailing address
9372 E Pickwick Cir BLDG 14
Taylor, MI 48180-3854
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 |
|---|---|---|---|
| 7501006614 | MI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hands Spa | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1710440037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9372 E PICKWICK CIR BLDG 14",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481803854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9372 E PICKWICK CIR BLDG 14",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481803854",
"telephone_number": "248-800-6622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "BROOKE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-12",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501006614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.