Individual provider Active NPI

Tina Tongen, RMT, AOS, CYT, NCTMB

  • Massage Therapist
  • Boulder, CO
National Provider Identifier
1437402823
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT11470 Issued in CO
Practice address
3825 Iris Ave
Suite 300
Boulder, CO 80301-2003
Phone
(720) 398-7835
NPI assigned
Oct 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT11470 CO Primary
Massage Therapist 225700000X 599389-10 CO

Addresses

Primary practice location

3825 Iris Ave
Suite 300
Boulder, CO 80301-2003

Mailing address

2995 Glenwood Dr
Apt 401
Boulder, CO 80301-1305
Phone (720) 398-7835

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
599389-10COMDMassage Therapist
MT11470COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1437402823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 GLENWOOD DR",
            "address_2": "APT 401",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011305",
            "telephone_number": "720-398-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 IRIS AVE",
            "address_2": "SUITE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012003",
            "telephone_number": "720-398-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONGEN",
        "first_name": "TINA",
        "credential": "RMT, AOS, CYT, NCTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT11470",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "599389-10",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.