Active NPI
Brian Lee Polzin, LMT
- Massage Therapist
- Stevens Point, WI
National Provider Identifier
1376786731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 704-046
- Practice address
- 3233B Business Park Dr Ste 201
Stevens Point, WI 54481-8856 - Phone
- (715) 630-0314
- NPI assigned
- Apr 15, 2009
- Last updated
- Apr 15, 2009
- Sex
- Male
- 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 | 704-046 | WI | Primary |
Addresses
Primary practice location
3233B Business Park Dr Ste 201
Stevens Point, WI 54481-8856
Mailing address
3233B Business Park Dr Ste 201
Stevens Point, WI 54481-8856
Phone (715) 630-0314
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 |
|---|---|---|---|
| 704-046 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239753600000",
"number": "1376786731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3233B BUSINESS PARK DR STE 201",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544818856",
"telephone_number": "715-630-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3233B BUSINESS PARK DR STE 201",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544818856",
"telephone_number": "715-630-0314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLZIN",
"first_name": "BRIAN",
"middle_name": "LEE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-15",
"last_updated": "2009-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "704-046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stevens Point, WI
- Point Counseling Center LLC
- Point Family Chiropractic LLC (Point Family Chiropractic)
- Point Forward Physical Therapy LTD.
- Point Place Dental 2, LLC (Arden Grove Dental)
- Point Place Dental, LLC
- Johanna Rose Poole
- Jason J. Potocki, M.D.
- Mary Powell, M.S.
- Powerback Rehabilitation LLC (Powerback Rehabilitation)
- Steven Bruce Pray, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.