Active NPI
Alicya Niecalek
- Massage Therapist
- Troy, MI
National Provider Identifier
1770075707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501010833
- Practice address
- 6846 Rochester Rd
Troy, MI 48085-1291 - Phone
- (248) 828-0088
- NPI assigned
- Jun 5, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 7501010833 | MI | Primary |
Addresses
Primary practice location
6846 Rochester Rd
Troy, MI 48085-1291
Mailing address
6846 Rochester Rd
Troy, MI 48085-1291
Phone (248) 828-0088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1445193 | Other | PA | AMTA |
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 |
|---|---|---|---|
| 7501010833 | MI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elements Therapeutic Massage | Past | Accepting new patients | |
| C-Ync, LLC | 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.
-
- Massage Therapist
- Troy, MI
- NPI 1417270174
-
- Health Service Clinic/Center
- Troy, MI
- NPI 1093117111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1770075707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6846 ROCHESTER RD",
"city": "TROY",
"state": "MI",
"postal_code": "480851291",
"telephone_number": "248-828-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6846 ROCHESTER RD",
"city": "TROY",
"state": "MI",
"postal_code": "480851291",
"telephone_number": "248-828-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIECALEK",
"first_name": "ALICYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-05",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501010833",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMTA",
"identifier": "1445193",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.