Active NPI
Beverly Foster-Maxey, LMT
- Massage Therapist
- Detroit, MI
National Provider Identifier
1851954408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501000137
- Practice address
- 17460 Salem St
Detroit, MI 48219-5802 - Phone
- (248) 469-8480
- NPI assigned
- Apr 19, 2019
- Last updated
- Apr 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7501000137 | MI | Primary |
Addresses
Primary practice location
17460 Salem St
Detroit, MI 48219-5802
Mailing address
17462 Salem St
Detroit, MI 48219-5802
Phone (313) 319-0694
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7501000137 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1851954408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17462 SALEM ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482195802",
"telephone_number": "313-319-0694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17460 SALEM ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482195802",
"telephone_number": "248-469-8480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER-MAXEY",
"first_name": "BEVERLY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-19",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501000137",
"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 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.