Individual provider Active NPI

Laurence Andrew Deisz, LMT

  • Massage Therapist
  • Billings, MT
National Provider Identifier
1144071333
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
LMT-LMT-LIC-24552 Issued in MT
Practice address
2822 3Rd Ave N Ste 204
Billings, MT 59101-1934
Phone
(406) 855-1560
NPI assigned
Mar 27, 2024
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 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 LMT-LMT-LIC-24552 MT Primary

Addresses

Primary practice location

2822 3Rd Ave N Ste 204
Billings, MT 59101-1934

Mailing address

370 Caravan Ave
Billings, MT 59105-2837
Phone (406) 855-1560

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
LMT-LMT-LIC-24552MTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuvenation Massage Therapy LLC Massage Therapist CurrentSince Mar 31, 2024 Accepting new patients

Locations

2822 3rd Ave N
Ste 204
Billings, MT 59101
Phone (406) 855-1560

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1144071333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 CARAVAN AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591052837",
            "telephone_number": "406-855-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 3RD AVE N STE 204",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591011934",
            "telephone_number": "406-855-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEISZ",
        "first_name": "LAURENCE",
        "middle_name": "ANDREW",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "LMT-LMT-LIC-24552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.