Individual provider Active NPI

Teri Lynn Hein, LMT

  • Massage Therapist
  • Omaha, NE
National Provider Identifier
1245854942
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2372 Issued in NE
Practice address
11316 Davenport St
Omaha, NE 68154-2630
Phone
(402) 980-3657
NPI assigned
May 29, 2020
Last updated
May 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2020

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 094565 IA
Massage Therapist 225700000X 2372 NE Primary

Addresses

Primary practice location

11316 Davenport St
Omaha, NE 68154-2630

Mailing address

513 N 9TH St
Missouri Valley, IA 51555-1207
Phone (402) 980-3657

Other practice location 1

11316 Davenport St
Omaha, NE 68154-2630
Phone (402) 980-3657

Other identifiers 1

IdentifierTypeStateIssuer
1891318150OtherNATIONAL PLAN & PROVIDER ENUMERATION SYSTEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PureMassageLLC.com Other

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
2372NEMDCounselor
094565IAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Massage, LLC Massage Therapist CurrentSince May 31, 2020 Accepting new patients

Locations

11316 Davenport St
Omaha, NE 68154
Phone (402) 980-3657

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1245854942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 N 9TH ST",
            "city": "MISSOURI VALLEY",
            "state": "IA",
            "postal_code": "515551207",
            "telephone_number": "402-980-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11316 DAVENPORT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542630",
            "telephone_number": "402-980-3657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11316 Davenport St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681542630",
            "country_code": "US",
            "telephone_number": "402-980-3657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIN",
        "first_name": "TERI",
        "middle_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IA",
            "license": "094565",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NE",
            "license": "2372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PLAN & PROVIDER ENUMERATION SYSTEM",
            "identifier": "1891318150",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PureMassageLLC.com",
            "affiliation": "N",
            "endpointDescription": "Schedule appointments, Soap Notes",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Verify Insurance",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Location Information, Service Information",
            "address_1": "11316 Davenport St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681542630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.