Organization Active NPI

Therapeutic Massage, LLC

  • Health Maintenance Organization
  • Hillsdale, MI
National Provider Identifier
1811265549
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
196655-00 Issued in MI
Legal business name
THERAPEUTIC MASSAGE, LLC
Practice address
1342 S Hillsdale Rd
Hillsdale, MI 49242-9367
Phone
(517) 439-4263
Fax
(517) 439-4263
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Treesa Moreen Weaver-Rich, N.C.T.M.B.
Title
Owner/Massage Therapist
Phone
(517) 439-4263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 196655-00 MI Primary

Addresses

Primary practice location

1342 S Hillsdale Rd
Hillsdale, MI 49242-9367

Mailing address

1342 S Hillsdale Rd
Hillsdale, MI 49242-9367
Phone (517) 439-4263

Other identifiers 1

IdentifierTypeStateIssuer
196655-00OtherMINATIONAL CERTIFICATION BOARD THERAPEUTIC MASSAGE & BODYWORK

National Provider Directory

National Provider Directory

Locations

1342 S Hillsdale Rd
Hillsdale, MI 49242
Phone (517) 439-4263

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": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1811265549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 S HILLSDALE RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429367",
            "telephone_number": "517-439-4263",
            "fax_number": "517-439-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 S HILLSDALE RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429367",
            "telephone_number": "517-439-4263",
            "fax_number": "517-439-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "WEAVER-RICH",
        "authorized_official_first_name": "TREESA",
        "authorized_official_middle_name": "MOREEN",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "517-439-4263",
        "authorized_official_credential": "N.C.T.M.B."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MI",
            "license": "196655-00",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION BOARD THERAPEUTIC MASSAGE & BODYWORK",
            "identifier": "196655-00",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.