NPIMap

Organization Active NPI

Sunny Palms Medical Massage

  • Massage Therapist
  • Traverse City, MI
National Provider Identifier
1942588801
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SUNNY PALMS MEDICAL MASSAGE
Practice address
1305 E 8TH St
Suite C
Traverse City, MI 49686-2981
Phone
(231) 633-9016
NPI assigned
Jul 26, 2011
Last updated
Jul 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Cherri BrodinNPI 1356629208
Title
Medical Massage Therapist
Phone
(231) 633-9016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1305 E 8TH St
Suite C
Traverse City, MI 49686-2981

Mailing address

1305 E 8TH St
Suite C
Traverse City, MI 49686-2981
Phone (231) 633-9016

National Provider Directory

National Provider Directory

Locations

1305 E Eighth St
Ste C
Traverse City, MI 49686
Phone (231) 633-9016

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1942588801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 E 8TH ST",
            "address_2": "SUITE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862981",
            "telephone_number": "231-633-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E 8TH ST",
            "address_2": "SUITE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862981",
            "telephone_number": "231-633-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY PALMS MEDICAL MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "BRODIN",
        "authorized_official_first_name": "CHERRI",
        "authorized_official_title_or_position": "MEDICAL MASSAGE THERAPIST",
        "authorized_official_telephone_number": "231-633-9016"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.