Active NPI
April Marie Tatarsky
- Massage Therapist
- Davison, MI
National Provider Identifier
1720751555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501014290
- Practice address
- 924 N State Rd
Davison, MI 48423-1134 - Phone
- (810) 728-8603
- NPI assigned
- Jul 28, 2021
- Last updated
- Jul 28, 2021
- 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 | 7501014290 | MI | Primary |
Addresses
Primary practice location
924 N State Rd
Davison, MI 48423-1134
Mailing address
924 N State Rd
Davison, MI 48423-1134
Phone (810) 728-8603
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 |
|---|---|---|---|
| 7501014290 | MI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manna Massage & Bodywork | Single Specialty | Current | Accepting new patients |
Locations
924 N State Rd
Davison, MI 48423
Phone (810) 728-8603
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": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1720751555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 N STATE RD",
"city": "DAVISON",
"state": "MI",
"postal_code": "484231134",
"telephone_number": "810-728-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 N STATE RD",
"city": "DAVISON",
"state": "MI",
"postal_code": "484231134",
"telephone_number": "810-728-8603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATARSKY",
"first_name": "APRIL",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501014290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.