Individual provider Active NPI

Frederick Carl Guenzler, LMT - MT387

  • Massage Therapist
  • Florence, MT
National Provider Identifier
1245604057
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
LMT387 Issued in MT
Practice address
201 Luby Lane
Florence, MT 59833
Phone
(406) 777-2591
NPI assigned
Nov 17, 2015
Last updated
Nov 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X LMT387 MT Primary
Mechanotherapist 172M00000X LMT387 MT

Addresses

Primary practice location

201 Luby Lane
Florence, MT 59833

Mailing address

201 Luby LN
Florence, MT 59833
Phone (406) 777-2591

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

LicenseStateTypeSpecialty
LMT387MTMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1245604057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LUBY LN",
            "city": "FLORENCE",
            "state": "MT",
            "postal_code": "59833",
            "telephone_number": "406-777-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LUBY LANE",
            "city": "FLORENCE",
            "state": "MT",
            "postal_code": "59833",
            "telephone_number": "406-777-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUENZLER",
        "first_name": "FREDERICK",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "LMT - MT387",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "LMT387",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "MT",
            "license": "LMT387",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.