Active NPI
Katie M Decent, L.M.T.
- Massage Therapist
- Clinton TWP, MI
National Provider Identifier
1992131593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- L2519541
- Practice address
- 35555 Garfield Rd
Ste. 3
Clinton TWP, MI 48035 - Phone
- (586) 420-0425
- NPI assigned
- Sep 16, 2013
- Last updated
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | L2519541 | MI | Primary |
Addresses
Primary practice location
35555 Garfield Rd
Ste. 3
Clinton TWP, MI 48035
Mailing address
3560 Fox Hill Dr
Sterling Heights, MI 48310-3039
Phone (586) 420-0425
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
| License | State | Type | Specialty |
|---|---|---|---|
| L2519541 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1992131593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3560 FOX HILL DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483103039",
"telephone_number": "586-420-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35555 GARFIELD RD",
"address_2": "STE. 3",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "48035",
"telephone_number": "586-420-0425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECENT",
"first_name": "KATIE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-16",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "L2519541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.