Individual provider Active NPI

Rebecca Tamm, LMT

  • Massage Therapist
  • Troy, MI
National Provider Identifier
1831663111
Registry record updated Jan 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501004442 Issued in MI
Practice address
330 E Maple Rd Ste H
Troy, MI 48083-2706
Phone
(248) 795-5196
NPI assigned
Jan 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2019

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 7501004442 MI Primary

Addresses

Primary practice location

330 E Maple Rd Ste H
Troy, MI 48083-2706

Mailing address

330 E Maple Rd Ste H
Troy, MI 48083-2706
Phone (248) 795-5196

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

LicenseStateTypeSpecialty
7501004442MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Massage and Wellness Massage Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547856000000",
    "number": "1831663111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E MAPLE RD STE H",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832706",
            "telephone_number": "248-795-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E MAPLE RD STE H",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832706",
            "telephone_number": "248-795-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMM",
        "first_name": "REBECCA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-19",
        "last_updated": "2019-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501004442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2019; 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.