Active NPI
Lakeview Massage LLC
- Physical Disabilities Residential Treatment Facility
- Apple Valley, MN
National Provider Identifier
1073975488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- MT-2016-21
- Legal business name
- LAKEVIEW MASSAGE LLC
- Practice address
- 13465 Pilot Knob Rd
Apple Valley, MN 55124-8693 - Phone
- (952) 423-3420
- NPI assigned
- Mar 24, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Linda Jean Tousignant
- Title
- Owner/Massage Therapist
- Phone
- (952) 423-3420
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | MT-2016-21 | MN | Primary |
Addresses
Primary practice location
13465 Pilot Knob Rd
Apple Valley, MN 55124-8693
Mailing address
13465 Pilot Knob Rd
Apple Valley, MN 55124-8693
Phone (952) 423-3420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT-2016-21 | Other | MN | CITY LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Apple Valley, MN
- NPI 1144682550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458777600000",
"number": "1073975488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13465 PILOT KNOB RD",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551248693",
"telephone_number": "952-423-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13465 PILOT KNOB RD",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551248693",
"telephone_number": "952-423-3420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEVIEW MASSAGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-24",
"last_updated": "2016-03-24",
"status": "A",
"authorized_official_last_name": "TOUSIGNANT",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
"authorized_official_telephone_number": "952-423-3420",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "MN",
"license": "MT-2016-21",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITY LICENSE",
"identifier": "MT-2016-21",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.