Individual provider Active NPI

Kirstin Burton, CMT, NTP

  • Massage Therapist
  • Rochester, MN
National Provider Identifier
1023824604
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
B00303L Issued in MN
Practice address
600 11TH Ave NW
Rochester, MN 55901-1805
Phone
(507) 285-1677
Fax
(507) 285-0052
NPI assigned
Dec 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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 B00303L MN Primary

Addresses

Primary practice location

600 11TH Ave NW
Rochester, MN 55901-1805

Mailing address

600 11TH Ave NW
Rochester, MN 55901-1805
Phone (507) 285-1677

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
B00303LMNMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northgate Health Clinic, P.a. CurrentSince Dec 15, 2024 Accepting new patients

Locations

600 11th Ave NW
Rochester, MN 55901
Phone (507) 285-1677

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": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1023824604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 11TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011805",
            "telephone_number": "507-285-1677",
            "fax_number": "507-285-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 11TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011805",
            "telephone_number": "507-285-1677",
            "fax_number": "507-285-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "KIRSTIN",
        "credential": "CMT, NTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "B00303L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.