Individual provider Active NPI

Alysse Alexandra Sherk

  • Massage Therapist
  • Foley, MN
National Provider Identifier
1437643202
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
130 Norman Ave S
Foley, MN 56329-8767
Phone
(320) 281-5243
NPI assigned
Jun 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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 Primary

Addresses

Primary practice location

130 Norman Ave S
Foley, MN 56329-8767

Mailing address

130 Norman Ave S
Foley, MN 56329-8767
Phone (320) 281-5243

Other practice location 1

401 Dewey St
Foley, MN 56329-8406
Phone (320) 968-7413

Other names 1

  • Alysse Alexandra Jensen Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gerhardson Chiropractic LLC Current Accepting new patients

Locations

130 Norman Ave S
Foley, MN 56329
Phone (320) 281-5243

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1437643202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 NORMAN AVE S",
            "city": "FOLEY",
            "state": "MN",
            "postal_code": "563298767",
            "telephone_number": "320-281-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 NORMAN AVE S",
            "city": "FOLEY",
            "state": "MN",
            "postal_code": "563298767",
            "telephone_number": "320-281-5243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Dewey St",
            "address_purpose": "LOCATION",
            "city": "Foley",
            "state": "MN",
            "postal_code": "563298406",
            "country_code": "US",
            "telephone_number": "320-968-7413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERK",
        "first_name": "ALYSSE",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSE",
            "last_name": "JENSEN",
            "middle_name": "ALEXANDRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Foley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.