Active NPI
Anastasia Agnes Alzheimer, NCTMB, LMT, CMT
- Massage Therapist
- Bozeman, MT
National Provider Identifier
1174812762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 592
- Practice address
- 1351 Stoneridge Dr
Suite B
Bozeman, MT 59718-7079 - Phone
- (406) 570-8025
- NPI assigned
- Apr 4, 2011
- Last updated
- Apr 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 592 | MT | Primary |
Addresses
Primary practice location
1351 Stoneridge Dr
Suite B
Bozeman, MT 59718-7079
Mailing address
1351 Stoneridge Dr
Suite B
Bozeman, MT 59718-7079
Phone (406) 570-8025
Other names 1
- Stacey Alzheimer
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
| License | State | Type | Specialty |
|---|---|---|---|
| 592 | MT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301875200000",
"number": "1174812762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 STONERIDGE DR",
"address_2": "SUITE B",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597187079",
"telephone_number": "406-570-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 STONERIDGE DR",
"address_2": "SUITE B",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597187079",
"telephone_number": "406-570-8025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALZHEIMER",
"first_name": "ANASTASIA",
"middle_name": "AGNES",
"credential": "NCTMB, LMT, CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-04",
"last_updated": "2011-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MT",
"license": "592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACEY",
"last_name": "ALZHEIMER",
"credential": "NCTMB, LMT, CMT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Bozeman, MT
- Katharine C Althans, D.C.
- Lawrence A Alvarado III, MD
- Anna Josette Alvin, LMT
- Always Stay Home Nursing Service Inc.
- Always Stay Home Nursing Service Inc.
- Amazing Touch PC
- Ambulant Acupuncture LLC (Ambulant Acupuncture)
- American Medical Response Ambulance Service Inc (American Medical Response)
- Amy Amidon, PH.D.
- Marianne Jackson Amsden, LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.