NPIMap

Organization Active NPI

Michigan Imassage

  • Mechanotherapist
  • Cadillac, MI
National Provider Identifier
1902291198
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
7501000195 Issued in MI
Legal business name
MICHIGAN IMASSAGE
Practice address
140 W River St
Suite 10
Cadillac, MI 49601-1862
Phone
(231) 853-3818
NPI assigned
Apr 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Authorized official

Name
Mrs. Becky Lynn Stimak, LMT
Title
Owner
Phone
(231) 853-3818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MechanotherapistGroup: 193400000X SINGLE SPECIALTY GROUP 172M00000X 7501000195 MI Primary

Addresses

Primary practice location

140 W River St
Suite 10
Cadillac, MI 49601-1862

Mailing address

140 W River St
Suite 10
Cadillac, MI 49601-1862
Phone (231) 853-3818

National Provider Directory

National Provider Directory

Locations

140 W River St
Ste 10
Cadillac, MI 49601
Phone (231) 853-3818

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1902291198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W RIVER ST",
            "address_2": "SUITE 10",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011862",
            "telephone_number": "231-853-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W RIVER ST",
            "address_2": "SUITE 10",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011862",
            "telephone_number": "231-853-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN IMASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "STIMAK",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-853-3818",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mechanotherapist",
            "state": "MI",
            "license": "7501000195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.