Organization Active NPI

Root and Branch LLC

  • Massage Therapist
  • Saint Paul, MN
National Provider Identifier
1285247932
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ROOT AND BRANCH LLC
Practice address
965 Payne Ave
Saint Paul, MN 55130-4194
Phone
(612) 458-6892
NPI assigned
Aug 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Authorized official

Name
Emily Honl, MT
Title
Co-Owner
Phone
(612) 636-3541

Specialties & licenses 1

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

Addresses

Primary practice location

965 Payne Ave
Saint Paul, MN 55130-4194

Mailing address

1034 Humboldt Ave
West St Paul, MN 55118-1431

National Provider Directory

National Provider Directory

Locations

965 Payne Ave
Saint Paul, MN 55130
Phone (612) 458-6892

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": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1285247932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 HUMBOLDT AVE",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551181431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 PAYNE AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304194",
            "telephone_number": "612-458-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT AND BRANCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "HONL",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "612-636-3541",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.