Meredith Melissa Sophabmisay, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

1700 Dorothys Way
Hartland, MI 48353

Phone

(248) 505-8561

NPI assigned

Mar 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Meredith Melissa Bell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1982020947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 DOROTHYS WAY",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "48353",
            "telephone_number": "248-505-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 DOROTHYS WAY",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "48353",
            "telephone_number": "248-505-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPHABMISAY",
        "first_name": "MEREDITH",
        "middle_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "BELL",
            "middle_name": "MELISSA",
            "credential": "MT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Massage Therapist in Hartland, MI
• Providers in Hartland, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.