Active NPI
Aaron Michael Henningsen, LMT
- Massage Therapist
- Broken Arrow, OK
National Provider Identifier
1376374660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 199775
- Practice address
- 2750 N 7TH St Apt 3622
Broken Arrow, OK 74012-2869 - Phone
- (918) 554-6144
- NPI assigned
- Aug 9, 2024
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 199775 | OK | Primary |
Addresses
Primary practice location
2750 N 7TH St Apt 3622
Broken Arrow, OK 74012-2869
Mailing address
2750 N 7TH St Apt 3622
Broken Arrow, OK 74012-2869
Phone (918) 554-6144
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 |
|---|---|---|---|
| 199775 | OK | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1376374660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 N 7TH ST APT 3622",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740122869",
"telephone_number": "918-554-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 N 7TH ST APT 3622",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740122869",
"telephone_number": "918-554-6144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNINGSEN",
"first_name": "AARON",
"middle_name": "MICHAEL",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "U",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OK",
"license": "199775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.