Bake G Christiansen, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

12857890-4701 Issued in UT

Practice address

1101 Jenson Ave SE
Watertown, SD 57201-5259

Phone

(605) 882-0100

Fax

(605) 882-6911

NPI assigned

Nov 24, 2023

Last updated

Nov 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Alternative Health Centers PC

  dba Johnson Chiropractic Clinic

  • Clinic/Center
  • Watertown, SD
  • NPI 1073781332
  NPD (past)

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

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1205601804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 JENSON AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572015259",
            "telephone_number": "605-882-0100",
            "fax_number": "605-882-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 JENSON AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572015259",
            "telephone_number": "605-882-0100",
            "fax_number": "605-882-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "BAKE",
        "middle_name": "G",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-24",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "12857890-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Cass, PT
• Catholic Family Services
• Cedar Lakes Therapy, LLC
• Chad D. Beynon, O.D., P.C.
• Alan R Christensen, MD
• City of Watertown (Watertown Fire Rescue)
• Teralynn S Clark, MD
• Kris Cleveland, P.T.
• Kristina Cloutier, LPC
• Codington County Auditor (Codington County Welfare Office)

• Massage Therapist in Watertown, SD
• Providers in Watertown, SD by specialty
• Massage Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.