Active NPI
John Gifford, LMT
- Massage Therapist
- Berkley, MI
National Provider Identifier
1770935843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- L523179
- Practice address
- 2315 Coolidge Hwy
Berkley, MI 48072-1550 - Phone
- (248) 646-6800
- NPI assigned
- Jul 12, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | L523179 | MI | Primary |
Addresses
Primary practice location
2315 Coolidge Hwy
Berkley, MI 48072-1550
Mailing address
2315 Coolidge Hwy
Berkley, MI 48072-1550
Phone (248) 646-6800
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 |
|---|---|---|---|
| L523179 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1770935843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 COOLIDGE HWY",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721550",
"telephone_number": "248-646-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 COOLIDGE HWY",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721550",
"telephone_number": "248-646-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIFFORD",
"first_name": "JOHN",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-12",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "L523179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.