The Nourished Self, LLC

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Legal business name

THE NOURISHED SELF, LLC

Doing business as

Restorative Recreation Therapy
Restorative Yoga Therapy

Practice address

496 W Ann Arbor TRL Ste 107
Plymouth, MI 48170-6262

Phone

(734) 560-8564

NPI assigned

Mar 30, 2026

Last updated

Mar 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samantha S Eyerman, CTRSNPI 1154278430

Title

Owner/President

Phone

(734) 560-8564

Specialties & licenses 4

Addresses

Other names 2

• Restorative Recreation Therapy Doing business as
• Restorative Yoga Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samantha S Eyerman, CTRS

  • Recreation Therapist
  • Plymouth, MI
  • NPI 1154278430

  Health & Wellness Coach

  NPD Authorized official

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1922948272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 N TERRITORIAL RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481705814",
            "telephone_number": "734-560-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 W ANN ARBOR TRL STE 107",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706262",
            "telephone_number": "734-560-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NOURISHED SELF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-29",
        "status": "A",
        "authorized_official_last_name": "EYERMAN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "734-560-8564",
        "authorized_official_credential": "CTRS"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restorative Recreation Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restorative Yoga Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Recreation Therapist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Recreation Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.