Individual provider Active NPI

Matthew Ikonen-Loskowski, LMT

  • Massage Therapist
  • Farmington Hills, MI
National Provider Identifier
1720535586
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501008670 Issued in MI
Practice address
35560 Grand River Ave Ste 225
Farmington Hills, MI 48335-3123
Phone
(734) 276-3424
NPI assigned
Sep 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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 7501008670 MI Primary

Addresses

Primary practice location

35560 Grand River Ave Ste 225
Farmington Hills, MI 48335-3123

Mailing address

35560 Grand River Ave Ste 225
Farmington Hills, MI 48335-3123
Phone (734) 276-3424

Other practice location 1

819 N Mill St
Plymouth, MI 48170-2189
Phone (734) 416-5200

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

LicenseStateTypeSpecialty
7501008670MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairsky Foundation Current Accepting new patients
H L Acquisition Massage Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1720535586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35560 GRAND RIVER AVE STE 225",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483353123",
            "telephone_number": "734-276-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35560 GRAND RIVER AVE STE 225",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483353123",
            "telephone_number": "734-276-3424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 N Mill St",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481702189",
            "country_code": "US",
            "telephone_number": "734-416-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKONEN-LOSKOWSKI",
        "first_name": "MATTHEW",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-08",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501008670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.