Active NPI
Michelle Mikha
- Massage Therapist
- Northville, MI
National Provider Identifier
1790463172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501004954
- Practice address
- 133 W Main St
Northville, MI 48167-1547 - Phone
- (224) 882-1660
- NPI assigned
- Jul 6, 2023
- Last updated
- Jul 6, 2023
- Sex
- Female
- 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 | 7501004954 | MI | Primary |
Addresses
Primary practice location
133 W Main St
Northville, MI 48167-1547
Mailing address
5075 Chestershire Dr
West Bloomfield, MI 48322-1554
Phone (248) 821-6605
Other practice location 1
42690 Woodward Ave
Bloomfield Hills, MI 48304-5062
Phone (248) 821-6605
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 |
|---|---|---|---|
| 7501004954 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1790463172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5075 CHESTERSHIRE DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483221554",
"telephone_number": "248-821-6605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 W MAIN ST",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481671547",
"telephone_number": "224-882-1660"
}
],
"practiceLocations": [
{
"address_1": "42690 Woodward Ave",
"address_purpose": "LOCATION",
"city": "Bloomfield Hills",
"state": "MI",
"postal_code": "483045062",
"country_code": "US",
"telephone_number": "248-821-6605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIKHA",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-06",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501004954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northville, MI
- Michigan Fyzpt-II Fyzical
- Michigan Ophthalmology Specialists, PLLC
- Michigan Orthopedic Spine & Interventionalist PLLC
- Michigan Telerad LLC
- Midwest Anesthesia Resources, Inc.
- Haley Elizabeth Mikkelsen
- Hannah Milavec, LLMSW
- Erica T Miletti
- Miller Chiropractic Life Center PC
- Cara Lynch Miller, LMSW-CLINICAL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.