Active NPI
Mary Melendez, LMT
- Massage Therapist
- Marquette, MI
National Provider Identifier
1871258624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501010276
- Practice address
- 710 Chippewa SQ Ste 203
Marquette, MI 49855-4815 - Phone
- (906) 458-8816
- NPI assigned
- Nov 6, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MI | ||
| Massage Therapist | 225700000X | 7501010276 | MI | Primary |
Addresses
Primary practice location
710 Chippewa SQ Ste 203
Marquette, MI 49855-4815
Mailing address
803 N Front St Lowr
Marquette, MI 49855-3531
Phone (906) 458-8816
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 |
|---|---|---|---|
| 7501010276 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636156800000",
"number": "1871258624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 N FRONT ST LOWR",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498553531",
"telephone_number": "906-458-8816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 CHIPPEWA SQ STE 203",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554815",
"telephone_number": "906-458-8816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ",
"first_name": "MARY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-06",
"last_updated": "2021-11-06",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501010276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marquette, MI
- Mediride, Inc.
- Christopher J Mehall, MD
- Meijer, Inc. (Meijer Pharmacy #302)
- Melanie Purres MDPC
- Lauren Kristine Melendez-Rivero
- Mellin Counseling and Consulting, LLC
- Mary Beth Mellin, MSW LMSW ACSW
- Robert A Mellin, M ED LPC CSW CACII
- Katherine Irene Menard, PMHNP-BC
- Juan Carlos Mendoza-Flores, MS, TLLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.