Individual provider Active NPI

Heather K Bossler, CMT

  • Massage Therapist
  • Detroit, MI
National Provider Identifier
1801230131
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
16237 Mack Ave Ste 1
Detroit, MI 48224-3645
Phone
(216) 701-9702
NPI assigned
Apr 17, 2013
Last updated
Apr 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

16237 Mack Ave Ste 1
Detroit, MI 48224-3645

Mailing address

1449 Maryland St Apt 2
Grosse Pointe Park, MI 48230-1091
Phone (216) 701-9702

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

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1801230131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 MARYLAND ST APT 2",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301091",
            "telephone_number": "216-701-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16237 MACK AVE STE 1",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243645",
            "telephone_number": "216-701-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSLER",
        "first_name": "HEATHER",
        "middle_name": "K",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.