Briana L Cruz, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501009060 Issued in MI

Practice address

601 E Main St
Hart, MI 49420-1144

Phone

(231) 873-3577

Fax

(231) 873-3557

NPI assigned

Nov 16, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ivyrehab Michigan, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MI
  • NPI 1104337120
  NPD
• Lakeside Comprehensive Rehabilitation Inc.

  • Physical Therapy Clinic/Center
  • Hart, MI
  • NPI 1396779542
  NPD

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1760191076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST",
            "city": "HART",
            "state": "MI",
            "postal_code": "494201144",
            "telephone_number": "231-873-3577",
            "fax_number": "231-873-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST",
            "city": "HART",
            "state": "MI",
            "postal_code": "494201144",
            "telephone_number": "231-873-3577",
            "fax_number": "231-873-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "BRIANA",
        "middle_name": "L",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501009060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fax@lakesiderehab.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Faxes",
            "address_1": "601 E Main St",
            "city": "Hart",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494201144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cherry Blossom Manor, Inc.
• Choices West Counseling Services, Inc
• Samantha Cole, LMT
• William S. Cooke, PT
• John P Cooney, DO
• David Culver RPH Inc
• Rebecca Davis, PTA
• Christina Delgado, LLBSW
• Laura Lynne Deruiter, RN,IBCLC
• Francine Jo Dodsworth, LPTA

• All providers in Hart, MI
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.