Active NPI
Paige Joy Hanson, LMT, LR
- Massage Therapist
- Moorhead, MN
National Provider Identifier
1487918462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MST12-28
- Practice address
- 805 14TH St. So.
Msum Wellness Center
Moorhead, MN 56560 - Phone
- (320) 305-2257
- NPI assigned
- Jun 25, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MST12-28 | MN | Primary |
Addresses
Primary practice location
805 14TH St. So.
Msum Wellness Center
Moorhead, MN 56560
Mailing address
1750 42ND St S Apt 208
Fargo, ND 58103-7107
Phone (320) 305-2257
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 |
|---|---|---|---|
| MST12-28 | MN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1487918462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 42ND ST S APT 208",
"city": "FARGO",
"state": "ND",
"postal_code": "581037107",
"telephone_number": "320-305-2257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 14TH ST. SO.",
"address_2": "MSUM WELLNESS CENTER",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "56560",
"telephone_number": "320-305-2257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "PAIGE",
"middle_name": "JOY",
"name_prefix": "Miss",
"credential": "LMT, LR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-25",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MN",
"license": "MST12-28",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moorhead, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.