Individual provider Active NPI

Carrie Fahlin, LMT

  • Massage Therapist
  • Faribault, MN
National Provider Identifier
1245951672
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
1620 17TH St NW
Faribault, MN 55021-2839
Phone
(507) 334-7720
NPI assigned
Sep 5, 2022
Last updated
Sep 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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 MN Primary

Addresses

Primary practice location

1620 17TH St NW
Faribault, MN 55021-2839

Mailing address

509 6TH St NW
Faribault, MN 55021-4134
Phone (952) 224-6507

Other practice location 1

7644 160th St W
Lakeville, MN 55044-4442
Phone (952) 985-5444

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

Practice roles

OrganizationSpecialtyStatusNew patients
Therapywerks PA CurrentSince Sep 11, 2022 Accepting new patients
Potter Chiropractic CurrentSince Sep 11, 2022 Accepting new patients
Betzina Clinics , LLC PastSince Dec 7, 2014 Accepting new patients

Locations

1620 17th St NW
Faribault, MN 55021
Phone (507) 332-2204

Organizations & group practices 3

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": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1245951672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 6TH ST NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550214134",
            "telephone_number": "952-224-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 17TH ST NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212839",
            "telephone_number": "507-334-7720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7644 160th St W",
            "address_purpose": "LOCATION",
            "city": "Lakeville",
            "state": "MN",
            "postal_code": "550444442",
            "country_code": "US",
            "telephone_number": "952-985-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAHLIN",
        "first_name": "CARRIE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.