Active NPI
Therapeutic Massage, LLC
- Health Maintenance Organization
- Hillsdale, MI
National Provider Identifier
1811265549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 196655-00
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196655-00 | Other | MI | NATIONAL CERTIFICATION BOARD THERAPEUTIC MASSAGE & BODYWORK |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Massage Therapist
- Hillsdale, MI
- NPI 1790054674
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.