Individual provider Active NPI

Tonya Kay Flynn

  • Massage Therapist
  • Maple Grove, MN
National Provider Identifier
1093530719
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2024-59 Issued in MN
Practice address
13700 Reimer Dr N Ste 250
Maple Grove, MN 55311-4581
Phone
(763) 420-2226
NPI assigned
Nov 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 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 2024-59 MN Primary

Addresses

Primary practice location

13700 Reimer Dr N Ste 250
Maple Grove, MN 55311-4581

Mailing address

13700 Reimer Dr N Ste 250
Maple Grove, MN 55311-4581

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
2024-59MNMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trillium Chiropractic & Wellness PA CurrentSince Nov 24, 2024 Accepting new patients
Trillium Chiropractic, PLLC CurrentSince Nov 24, 2024 Accepting new patients

Locations

13700 Reimer Dr N
Ste 250
Maple Grove, MN 55311
Phone (763) 420-2226

Organizations & group practices 2

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": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1093530719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 REIMER DR N STE 250",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 REIMER DR N STE 250",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114581",
            "telephone_number": "763-420-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "TONYA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "2024-59",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.