Organization Active NPI

Therapeutic Massage Rehabilitation

  • Rehabilitation Clinic/Center
  • Milford, MI
National Provider Identifier
1790180396
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
7501003479 Issued in MI
Legal business name
THERAPEUTIC MASSAGE REHABILITATION
Practice address
800 N Milford Rd Ste 600
Milford, MI 48381-1599
Phone
(248) 320-1310
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Christine Keaveny, LMT
Title
Licensed Massage Therapist
Phone
(248) 320-1310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 7501003479 MI Primary

Addresses

Primary practice location

800 N Milford Rd Ste 600
Milford, MI 48381-1599

Mailing address

1759 Ashstan Dr
Walled Lake, MI 48390-2612
Phone (248) 320-1310

National Provider Directory

National Provider Directory

Locations

800 N Milford Rd
Ste 600
Milford, MI 48381
Phone (248) 320-1310

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1790180396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 ASHSTAN DR",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483902612",
            "telephone_number": "248-320-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MILFORD RD STE 600",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811599",
            "telephone_number": "248-320-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC MASSAGE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "KEAVENY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "248-320-1310",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MI",
            "license": "7501003479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.