Organization Active NPI

Balanced Life Osteopathy

  • Neuromusculoskeletal Medicine & OMM Physician
  • Saint Paul, MN
National Provider Identifier
1184337933
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
BALANCED LIFE OSTEOPATHY
Practice address
1559 Summit Ave
Saint Paul, MN 55105-2244
Phone
(612) 367-6445
NPI assigned
Dec 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2022

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

Authorized official

Name
Susanne Murphy, DO
Title
Owner
Phone
(612) 367-6445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X Primary

Addresses

Primary practice location

1559 Summit Ave
Saint Paul, MN 55105-2244

Mailing address

1559 Summit Ave
Saint Paul, MN 55105-2244
Phone (612) 367-6445

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672012800000",
    "number": "1184337933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 SUMMIT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052244",
            "telephone_number": "612-367-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 SUMMIT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052244",
            "telephone_number": "612-367-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED LIFE OSTEOPATHY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-367-6445",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.