Individual provider Active NPI

Cassandra Tiemann, MT

  • Massage Therapist
  • Little Falls, MN
National Provider Identifier
1184249542
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
220 1St St SE
Little Falls, MN 56345-3004
Phone
(320) 631-0258
Fax
(320) 631-0259
NPI assigned
Jun 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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 Primary

Addresses

Primary practice location

220 1St St SE
Little Falls, MN 56345-3004

Mailing address

220 1St St SE
Little Falls, MN 56345-3004
Phone (320) 631-0258

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sjohnson@littlefallschiro.com

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
Credentials
Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Allison Zak, D.C., LLC CurrentSince Jun 14, 2020 Accepting new patients

Locations

220 1st St SE
Little Falls, MN 56345
Phone (320) 631-0258

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1184249542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 1ST ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453004",
            "telephone_number": "320-631-0258",
            "fax_number": "320-631-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 1ST ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453004",
            "telephone_number": "320-631-0258",
            "fax_number": "320-631-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEMANN",
        "first_name": "CASSANDRA",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjohnson@littlefallschiro.com",
            "affiliation": "N",
            "address_1": "220 1st St SE",
            "city": "Little Falls",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563453004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.