Organization Active NPI

Bio-Health Therapy Massage & Bodywork Rehab

  • Mechanotherapist
  • Warren, MI
National Provider Identifier
1760787048
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
576415-09
Legal business name
BIO-HEALTH THERAPY MASSAGE & BODYWORK REHAB
Practice address
29344 Hoover Road
#206
Warren, MI 48093
Phone
(810) 813-3776
Fax
(248) 723-4880
NPI assigned
Jan 19, 2011
Organization subpart
Yes
Parent organization
BIO-HEALTH THERAPY MASSAGE & BODYWORK REHABAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Pamela R Skinner, NCMBT
Title
Massage & Bodywork Rehab Therapist/
Phone
(810) 813-3776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MechanotherapistGroup: 193400000X SINGLE SPECIALTY GROUP 172M00000X 576415-09 Primary

Addresses

Primary practice location

29344 Hoover Road
#206
Warren, MI 48093

Mailing address

29344 Hoover Road
#206
Warren, MI 48093
Phone (810) 813-3776

National Provider Directory

National Provider Directory
Part of
Bio-Health Therapy Massage Bodywork Rehab

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1760787048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29344 HOOVER ROAD",
            "address_2": "#206",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48093",
            "telephone_number": "810-813-3776",
            "fax_number": "248-723-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29344 HOOVER ROAD",
            "address_2": "#206",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48093",
            "telephone_number": "810-813-3776",
            "fax_number": "248-723-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO-HEALTH THERAPY MASSAGE & BODYWORK REHAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIO-HEALTH THERAPY MASSAGE & BODYWORK REHAB",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MASSAGE & BODYWORK REHAB THERAPIST/",
        "authorized_official_telephone_number": "810-813-3776",
        "authorized_official_credential": "NCMBT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mechanotherapist",
            "state": null,
            "license": "576415-09",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.