Individual provider Active NPI

Anthony William Minorini, LMT

  • Massage Therapist
  • Saint Louis, MO
National Provider Identifier
1386246841
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2019038705 Issued in MO
Practice address
11924 Moorland Manor CT
Saint Louis, MO 63146-5359
Phone
(314) 566-3329
NPI assigned
Nov 10, 2020
Last updated
Nov 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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 2019038705 MO Primary

Addresses

Primary practice location

11924 Moorland Manor CT
Saint Louis, MO 63146-5359

Mailing address

11924 Moorland Manor CT
Saint Louis, MO 63146-5359
Phone (314) 566-3329

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
2019038705MOMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1386246841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11924 MOORLAND MANOR CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465359",
            "telephone_number": "314-566-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11924 MOORLAND MANOR CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465359",
            "telephone_number": "314-566-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINORINI",
        "first_name": "ANTHONY",
        "middle_name": "WILLIAM",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2019038705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.