Individual provider Active NPI

Christi Keaveny, LMT

  • Massage Therapist
  • Milford, MI
National Provider Identifier
1841695434
Registry record updated Oct 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501003479 Issued in MI
Practice address
800 N Milford Rd
Ste. 600
Milford, MI 48381-1597
Phone
(248) 320-1310
NPI assigned
Oct 26, 2014
Last updated
Oct 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2014

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 7501003479 MI Primary

Addresses

Primary practice location

800 N Milford Rd
Ste. 600
Milford, MI 48381-1597

Mailing address

1759 Ashstan Dr
Walled Lake, MI 48390-2612
Phone (248) 320-1310

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
7501003479MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Massage Rehabilitation 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1414281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414281600000",
    "number": "1841695434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 ASHSTAN DR",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483902612",
            "telephone_number": "248-320-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MILFORD RD",
            "address_2": "STE. 600",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811597",
            "telephone_number": "248-320-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEAVENY",
        "first_name": "CHRISTI",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-26",
        "last_updated": "2014-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501003479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2014; 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.