Organization Active NPI

Lakeview Massage LLC

  • Physical Disabilities Residential Treatment Facility
  • Apple Valley, MN
National Provider Identifier
1073975488
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
MT-2016-21 Issued in MN
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

Updated by the provider on Mar 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Linda Jean TousignantNPI 1144682550
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MT-2016-21OtherMNCITY LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.