Individual provider Active NPI

Naomi Ursan, LMT

  • Massage Therapist
  • Troy, MI
National Provider Identifier
1992303168
Registry record updated Oct 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
U625622015022 Issued in MI
Practice address
330 E Maple Rd Ste H
Troy, MI 48083-2706
Phone
(248) 795-5196
NPI assigned
Oct 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2020

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 U625622015022 MI Primary

Addresses

Primary practice location

330 E Maple Rd Ste H
Troy, MI 48083-2706

Mailing address

330 E Maple Rd Ste H
Troy, MI 48083-2706
Phone (248) 795-5196

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
U625622015022MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Massage and Wellness Massage Therapist PastSince Oct 19, 2020 Accepting new patients

Organizations & group practices 1

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": "1602374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602374400000",
    "number": "1992303168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E MAPLE RD STE H",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832706",
            "telephone_number": "248-795-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E MAPLE RD STE H",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832706",
            "telephone_number": "248-795-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSAN",
        "first_name": "NAOMI",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-11",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "U625622015022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; 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.