Individual provider Active NPI

Rebecca Corinne Rizzuto, ADVANCED MASSAGE PRA

  • Massage Therapist
  • Minneapolis, MN
National Provider Identifier
1013262278
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
3747 Minnehaha Ave Ste 207
Minneapolis, MN 55406-2858
Phone
(415) 690-0614
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X CA
Massage Therapist 225700000X MN Primary

Addresses

Primary practice location

3747 Minnehaha Ave Ste 207
Minneapolis, MN 55406-2858

Mailing address

3747 Minnehaha Ave Ste 207
Minneapolis, MN 55406-2858
Phone (415) 690-0614

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": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1013262278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 MINNEHAHA AVE STE 207",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062858",
            "telephone_number": "415-690-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 MINNEHAHA AVE STE 207",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062858",
            "telephone_number": "415-690-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZUTO",
        "first_name": "REBECCA",
        "middle_name": "CORINNE",
        "name_prefix": "Ms.",
        "credential": "ADVANCED MASSAGE PRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "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 Dec 13, 2023; 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.