Caitlin Icart

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

7237 Forestview LN N
Maple Grove, MN 55369-5501

Phone

(763) 420-8595

NPI assigned

Jan 11, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Broman Chiropractic Clinic PA

  • Chiropractor
  • Maple Grove, MN
  • NPI 1710125562
  NPD
• Andrea White

  • Massage Therapist
  • Maple Grove, MN
  • NPI 1104228584
  NPD (past)

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1144091869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 BELDEN DR NE",
            "city": "ST ANTHONY",
            "state": "MN",
            "postal_code": "554181643",
            "telephone_number": "612-281-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7237 FORESTVIEW LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695501",
            "telephone_number": "763-420-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICART",
        "first_name": "CAITLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah M Hurd, MA
• Sarah Baker Hussian, LICSW
• Madelyn Justine Hvidston
• Hy-Vee Inc
• Kara Hydukovich, LPCC, LADC
• Jessica Idahor, DNP, APRN, FNP-C
• Sarah Igl
• Kelly R Ihry, C.N.P.
• Indigenous Circles Counseling Center
• Infinite Health Collaborative, PA

• All providers in Maple Grove, MN
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.