Active NPI
Ann Scarborough, MASSAGE THERAPIST
- Mechanotherapist
- Burnsville, MN
National Provider Identifier
1336478627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- Practice address
- 1103 W Burnsville Pkwy Ste 200
Burnsville, MN 55337-5800 - Phone
- (952) 994-1790
- Fax
- (952) 746-2819
- NPI assigned
- Dec 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | Primary |
Addresses
Primary practice location
1103 W Burnsville Pkwy Ste 200
Burnsville, MN 55337-5800
Mailing address
4219 Hanrehan TRL
Savage, MN 55378-9786
Phone (952) 994-1790
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770812067 | Other | MN | NPI |
| 1336478627 | Other | MN | NPI |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Journey Massage & Wellness, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Health Service Clinic/Center
- Burnsville, MN
- NPI 1770812067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342483200000",
"number": "1336478627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4219 HANREHAN TRL",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553789786",
"telephone_number": "952-994-1790",
"fax_number": "952-746-2819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 W BURNSVILLE PKWY STE 200",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553375800",
"telephone_number": "952-994-1790",
"fax_number": "952-746-2819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARBOROUGH",
"first_name": "ANN",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-15",
"last_updated": "2012-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1770812067",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1336478627",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.