Active NPI
Laura Jean Abernathy, LMT
- Massage Therapist
- Woodbury, MN
National Provider Identifier
1043846751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 927216
- Practice address
- 7803 Afton Rd Ste 17
Woodbury, MN 55125-1507 - Phone
- (651) 226-7392
- NPI assigned
- Mar 14, 2020
- Last updated
- Mar 14, 2020
- 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 | 927216 | MN | Primary |
Addresses
Primary practice location
7803 Afton Rd Ste 17
Woodbury, MN 55125-1507
Mailing address
70 Oday St N
Maplewood, MN 55119-4727
Phone (651) 226-7392
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 |
|---|---|---|---|
| 927216 | MN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584144000000",
"number": "1043846751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 ODAY ST N",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551194727",
"telephone_number": "651-226-7392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7803 AFTON RD STE 17",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251507",
"telephone_number": "651-226-7392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABERNATHY",
"first_name": "LAURA",
"middle_name": "JEAN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-14",
"last_updated": "2020-03-14",
"certification_date": "2020-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MN",
"license": "927216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
- Ikran Faisal Abdi
- Mahad Abdi
- Furkan Ali Abdulelah
- Munira Mahad Abdullahi
- Jaimie Abeler, CNP
- Ability BB Woodbury LLC (Brain Balance)
- Abloom Comfort Home Care (Abloom Senior Living)
- Abode Hospice and Homecare of MN, LLC (Hospice of the Midwest)
- Abode Hospice and Homecare of MN, LLC (Abode Home Care of Minnesota)
- Barbara Abrams
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.