Active NPI
Beth Ann Burgan, NCTMB
- Massage Therapist
- Minneapolis, MN
National Provider Identifier
1003941618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 2720 W 43Rd St
#206
Minneapolis, MN 55410-1643 - Phone
- (612) 927-5525
- NPI assigned
- Feb 22, 2007
- 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 | Primary |
Addresses
Primary practice location
2720 W 43Rd St
#206
Minneapolis, MN 55410-1643
Mailing address
2720 W 43Rd St
#206
Minneapolis, MN 55410-1643
Phone (612) 927-5525
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391385600000",
"number": "1003941618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 W 43RD ST",
"address_2": "#206",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554101643",
"telephone_number": "612-927-5525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 W 43RD ST",
"address_2": "#206",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554101643",
"telephone_number": "612-927-5525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGAN",
"first_name": "BETH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "NCTMB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2014-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.