Individual provider Active NPI

Eli Kreuzenstein

  • Massage Therapist
  • Anchorage, AK
National Provider Identifier
1003484569
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7556535 Issued in AK
Practice address
1000 E Dimond Blvd Ste 202
Anchorage, AK 99515-2029
Phone
(907) 349-4212
Fax
(907) 344-3381
NPI assigned
Jun 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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 7556535 AK Primary

Addresses

Primary practice location

1000 E Dimond Blvd Ste 202
Anchorage, AK 99515-2029

Mailing address

17823 Meadow Creek Dr
Eagle River, AK 99577-8250
Phone (907) 862-4853

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
7556535AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Corporate Chiropractic, Inc. CurrentSince Jun 15, 2021 Accepting new patients
Motion Imaging CurrentSince Jan 14, 2024 Accepting new patients

Locations

1000 E Dimond Blvd
Ste 202
Anchorage, AK 99515
Phone (907) 349-4212

Organizations & group practices 2

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": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1003484569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17823 MEADOW CREEK DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778250",
            "telephone_number": "907-862-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E DIMOND BLVD STE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152029",
            "telephone_number": "907-349-4212",
            "fax_number": "907-344-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUZENSTEIN",
        "first_name": "ELI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "7556535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.