Individual provider Active NPI

Alicia Marie Burger, LMT

  • Massage Therapist
  • Terre Haute, IN
National Provider Identifier
1013568708
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT21405241 Issued in IN
Practice address
3212 N 13TH St
Terre Haute, IN 47804-1236
Phone
(812) 460-1400
Fax
(812) 460-1402
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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 MT21405241 IN Primary

Addresses

Primary practice location

3212 N 13TH St
Terre Haute, IN 47804-1236

Mailing address

3212 N 13TH St
Terre Haute, IN 47804-1236
Phone (812) 460-1400

Other identifiers 1

IdentifierTypeStateIssuer
MT21405241OtherINLICENSED MASSAGE THERAPIST

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ChiroTouch

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
MT21405241INMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Gordon LLC CurrentSince Sep 29, 2019 Accepting new patients
L.Cira Inc CurrentSince Sep 29, 2019 Accepting new patients

Locations

3212 N 13th St
Terre Haute, IN 47804
Phone (812) 460-1400

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1013568708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 N 13TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478041236",
            "telephone_number": "812-460-1400",
            "fax_number": "812-460-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 N 13TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478041236",
            "telephone_number": "812-460-1400",
            "fax_number": "812-460-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGER",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT21405241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASSAGE THERAPIST",
            "identifier": "MT21405241",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ChiroTouch",
            "affiliation": "N",
            "address_1": "3212 N 13th St",
            "city": "Terre Haute",
            "state": "IN",
            "country_code": "US",
            "postal_code": "478041236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.