Active NPI
Raymond Tyler, R.M.T.
- Massage Therapist
- Farmington, MI
National Provider Identifier
1750613675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- ABMP 458860
- Practice address
- 31822 Grand River Ave
Farmington, MI 48336-4124 - Phone
- (248) 508-6528
- NPI assigned
- Feb 2, 2010
- 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 | ABMP 458860 | MI | Primary |
| Mechanotherapist | 172M00000X | ABMP 458860 | MI |
Addresses
Primary practice location
31822 Grand River Ave
Farmington, MI 48336-4124
Mailing address
31822 Grand River Ave
Farmington, MI 48336-4124
Phone (248) 508-6528
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 |
|---|---|---|---|
| ABMP 458860 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286841600000",
"number": "1750613675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31822 GRAND RIVER AVE",
"city": "FARMINGTON",
"state": "MI",
"postal_code": "483364124",
"telephone_number": "248-508-6528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31822 GRAND RIVER AVE",
"city": "FARMINGTON",
"state": "MI",
"postal_code": "483364124",
"telephone_number": "248-508-6528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "RAYMOND",
"name_prefix": "Mr.",
"credential": "R.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-02",
"last_updated": "2010-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "ABMP 458860",
"primary": true
},
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "MI",
"license": "ABMP 458860",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.