Active NPI
Tiffanie Ryder
- Massage Therapist
- Grand Rapids, MI
National Provider Identifier
1720515406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 1110 Merrified St
Grand Rapids, MI 49507 - Phone
- (616) 238-5799
- NPI assigned
- May 12, 2017
- 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 | MI | Primary |
Addresses
Primary practice location
1110 Merrified St
Grand Rapids, MI 49507
Mailing address
1110 Merrified St SE
Grand Rapids, MI 49507
Phone (616) 238-5799
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": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494547200000",
"number": "1720515406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 MERRIFIED ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49507",
"telephone_number": "616-238-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 MERRIFIED ST",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49507",
"telephone_number": "616-238-5799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYDER",
"first_name": "TIFFANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-12",
"last_updated": "2017-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.