Active NPI
Mary Caine, LMT
- Massage Therapist
- Anoka, MN
National Provider Identifier
1356748958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0989
- Practice address
- 500 W Main Street, Suite 12
Anoka, MN 55303-2126 - Phone
- (763) 433-0332
- Fax
- (763) 421-1566
- NPI assigned
- Nov 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0989 | MN | Primary |
Addresses
Primary practice location
500 W Main Street, Suite 12
Anoka, MN 55303-2126
Mailing address
500 W Main St Ste 12
Anoka, MN 55303-2000
Phone (763) 433-0332
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0989 | MN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1356748958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W MAIN ST STE 12",
"city": "ANOKA",
"state": "MN",
"postal_code": "553032000",
"telephone_number": "763-433-0332",
"fax_number": "763-421-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W MAIN STREET, SUITE 12",
"city": "ANOKA",
"state": "MN",
"postal_code": "553032126",
"telephone_number": "763-433-0332",
"fax_number": "763-421-1566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAINE",
"first_name": "MARY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-25",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MN",
"license": "0989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anoka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.