Agape Massage Therapy and Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007308 Issued in MI

Legal business name

AGAPE MASSAGE THERAPY AND CHIROPRACTIC PLLC

Practice address

40410 Hayes Rd
Clinton Township, MI 48038-2542

Phone

(586) 464-0053

Fax

(586) 464-0063

NPI assigned

Nov 5, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Craig Stasio, D.C.NPI 1841479151

Title

Owner and President

Phone

(586) 464-0053

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig Allen Stasio, D.C.

  • Chiropractor
  • Clinton Township, MI
  • NPI 1841479151
  Medicare reassignment Authorized official
• Francis Vincent Elwart, DC

  • Chiropractor
  • Oak Park, MI
  • NPI 1245295930
  NPD (past)

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1891049367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40410 HAYES RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480382542",
            "telephone_number": "586-464-0053",
            "fax_number": "586-464-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40410 HAYES RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480382542",
            "telephone_number": "586-464-0053",
            "fax_number": "586-464-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE MASSAGE THERAPY AND CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "STASIO",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "586-464-0053",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007308",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "2301007308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.