Individual provider Active NPI

Elena Terese Dzuro, CMT

  • Massage Therapist
  • Minnetonka, MN
National Provider Identifier
1619261401
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
11300 Minnetonka Mills Rd
Suite C
Minnetonka, MN 55305-5100
Phone
(952) 933-3000
Fax
(952) 930-3210
NPI assigned
Jun 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X
Massage Therapist 225700000X MN Primary
Adult Companion 372600000X
Home Health Aide 374U00000X

Addresses

Primary practice location

11300 Minnetonka Mills Rd
Suite C
Minnetonka, MN 55305-5100

Mailing address

11300 Minnetonka Mills Rd
Suite C
Minnetonka, MN 55305-5100
Phone (952) 933-3000

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

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1619261401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 MINNETONKA MILLS RD",
            "address_2": "SUITE C",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055100",
            "telephone_number": "952-933-3000",
            "fax_number": "952-930-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 MINNETONKA MILLS RD",
            "address_2": "SUITE C",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055100",
            "telephone_number": "952-933-3000",
            "fax_number": "952-930-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZURO",
        "first_name": "ELENA",
        "middle_name": "TERESE",
        "name_prefix": "Ms.",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.