Individual provider Active NPI

Tari Wenick, CMT

  • Massage Therapist
  • Escanaba, MI
National Provider Identifier
1902585573
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501004202 Issued in MI
Practice address
500 Ludington St
Escanaba, MI 49829-3926
Phone
(906) 789-5868
NPI assigned
Jul 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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 7501004202 MI Primary

Addresses

Primary practice location

500 Ludington St
Escanaba, MI 49829-3926

Mailing address

500 Ludington St
Escanaba, MI 49829-3926
Phone (906) 789-5868

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
7501004202MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Chiropractic Associates,Inc CurrentSince Jul 16, 2023 Accepting new patients
Beauchamp Chiropractic PastSince Jul 16, 2023 Accepting new patients

Locations

500 Ludington St
Escanaba, MI 49829
Phone (906) 786-5520

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1902585573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LUDINGTON ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293926",
            "telephone_number": "906-789-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LUDINGTON ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293926",
            "telephone_number": "906-789-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENICK",
        "first_name": "TARI",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501004202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escanaba, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.