Active NPI
Tressa Dee Weeden-Bootz, CMT, LMT
- Massage Therapist
- Chaska, MN
National Provider Identifier
1457963191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 112 W 2ND St
Chaska, MN 55318-2635 - Phone
- (952) 220-5938
- NPI assigned
- Aug 22, 2020
- Reactivated
- Dec 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | 00000000 | MN | |
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | 00000000 | MN | |
| Massage Therapist | 225700000X | MN | Primary |
Addresses
Primary practice location
112 W 2ND St
Chaska, MN 55318-2635
Mailing address
112 W 2ND St
Chaska, MN 55318-2635
Phone (952) 220-5938
Other names 1
- Tressa Lemay
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 |
|---|---|---|---|
| 00000000 | MN | MD | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1457963191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 W 2ND ST",
"city": "CHASKA",
"state": "MN",
"postal_code": "553182635",
"telephone_number": "952-220-5938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 W 2ND ST",
"city": "CHASKA",
"state": "MN",
"postal_code": "553182635",
"telephone_number": "952-220-5938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEEDEN-BOOTZ",
"first_name": "TRESSA",
"middle_name": "DEE",
"credential": "CMT, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-22",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"deactivation_date": "2021-04-12",
"reactivation_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "MN",
"license": "00000000",
"primary": false
},
{
"code": "2081N0008X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": "MN",
"license": "00000000",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRESSA",
"last_name": "LEMAY",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Chaska, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.