Benjamin Earl Lockett, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

6957 Highway 10 NW Ste 102
Ramsey, MN 55303-6059

Phone

(612) 226-0967

NPI assigned

Mar 12, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1275118002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 147TH AVE NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553034734",
            "telephone_number": "612-226-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6957 HIGHWAY 10 NW STE 102",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553036059",
            "telephone_number": "612-226-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKETT",
        "first_name": "BENJAMIN",
        "middle_name": "EARL",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ben.lockett@elysiumassage.com",
            "affiliation": "N",
            "address_1": "6957 Highway 10 NW Ste 102",
            "city": "Ramsey",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553036059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelsey Marie Laufenberg-Anderson, LPCC
• Joshua Naotou Lee
• Alexandra Christine Lentz, DDS
• Angela Jean Lindberg
• Livewell, PLLC
• Martha Leigh Lockett, M.S. CCC-SLP
• Haley Nicole Long
• James B Long, MD
• Susan A. Look-Torgerson, M.D.
• Lotus Care LLC

• Massage Therapist in Ramsey, MN
• Providers in Ramsey, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.