Individual provider Active NPI

Alyssa Marie Sinner, LMT

  • Massage Therapist
  • West Fargo, ND
National Provider Identifier
1003576562
Registry record updated Dec 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
1516 Issued in ND
Practice address
3140 Bluestem Dr Ste 103
West Fargo, ND 58078-8010
Phone
(701) 893-7878
NPI assigned
Dec 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 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 1516 ND Primary

Addresses

Primary practice location

3140 Bluestem Dr Ste 103
West Fargo, ND 58078-8010

Mailing address

543 42ND Ave S
Moorhead, MN 56560-6720
Phone (701) 261-6025

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
1516NDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Chiropractic and Rehab PC CurrentSince Jan 2, 2022 Accepting new patients

Locations

3140 Bluestem Dr
Ste 103
West Fargo, ND 58078
Phone (701) 893-7878

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": "1640476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640476800000",
    "number": "1003576562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 42ND AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565606720",
            "telephone_number": "701-261-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 BLUESTEM DR STE 103",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788010",
            "telephone_number": "701-893-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINNER",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-26",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ND",
            "license": "1516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

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