NPIMap

Organization Active NPI

Essential Wellness and Fitness LLC

  • Massage Therapist
  • Minneapolis, MN
National Provider Identifier
1265013304
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ESSENTIAL WELLNESS AND FITNESS LLC
Practice address
2937 Lyndale Ave S
Minneapolis, MN 55408-2171
Phone
(651) 338-7178
NPI assigned
Apr 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Mr. Jeffrey Rann ThompsonNPI 1699356055
Title
Owner
Phone
(651) 338-7178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

2937 Lyndale Ave S
Minneapolis, MN 55408-2171

Mailing address

508 Ridgewood Ave Apt 5
Minneapolis, MN 55403-3579
Phone (651) 338-7178

National Provider Directory

National Provider Directory

Locations

2937 Lyndale Ave S
Minneapolis, MN 55408
Phone (612) 827-7400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1265013304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 RIDGEWOOD AVE APT 5",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033579",
            "telephone_number": "651-338-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2937 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082171",
            "telephone_number": "651-338-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL WELLNESS AND FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "RANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-338-7178",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.