Individual provider Active NPI

Loriann M Bershenyi, RCMT,RCST,CMLDT

  • Massage Therapist
  • Glenwood Springs, CO
National Provider Identifier
1376882803
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
6425 Issued in CO
Practice address
1132 Grand Ave
Glenwood Springs, CO 81601-3802
Phone
(970) 618-3008
NPI assigned
Feb 4, 2013
Last updated
Feb 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 6425 CO Primary

Addresses

Primary practice location

1132 Grand Ave
Glenwood Springs, CO 81601-3802

Mailing address

1132 Grand Ave
Glenwood Springs, CO 81601-3802
Phone (970) 618-3008

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

LicenseStateTypeSpecialty
6425COMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1376882803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 GRAND AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013802",
            "telephone_number": "970-618-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 GRAND AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013802",
            "telephone_number": "970-618-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSHENYI",
        "first_name": "LORIANN",
        "middle_name": "M",
        "credential": "RCMT,RCST,CMLDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "6425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.