Active NPI
Bethanne J Beisner, RMT
- Massage Therapist
- Aurora, CO
National Provider Identifier
1033496609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 6542
- Practice address
- 11275 E Mississippi Ave
1S8
Aurora, CO 80012-3263 - Phone
- (303) 263-0330
- NPI assigned
- Nov 10, 2011
- 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 | 6542 | CO | Primary |
Addresses
Primary practice location
11275 E Mississippi Ave
1S8
Aurora, CO 80012-3263
Mailing address
4312 S Hannibal Way
#216
Aurora, CO 80015-4447
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6542 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1033496609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4312 S HANNIBAL WAY",
"address_2": "#216",
"city": "AURORA",
"state": "CO",
"postal_code": "800154447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11275 E MISSISSIPPI AVE",
"address_2": "1S8",
"city": "AURORA",
"state": "CO",
"postal_code": "800123263",
"telephone_number": "303-263-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEISNER",
"first_name": "BETHANNE",
"middle_name": "J",
"credential": "RMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-10",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "6542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.