Theodore James Rick, LMT,CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

00022480 Issued in MN

Practice address

6009 Wayzata Blvd
Suite 106
Saint Louis Park, MN 55416-1223

Phone

(952) 922-1478

Fax

(952) 922-0248

NPI assigned

Jan 8, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Golden Sun Chiropractic Wellness Center, PLLC

  • Chiropractor
  • Bloomington, MN
  • NPI 1982744140
  NPD (past)

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1629315866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 WAYZATA BLVD",
            "address_2": "SUITE 106",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554161223",
            "telephone_number": "952-922-1478",
            "fax_number": "952-922-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 WAYZATA BLVD",
            "address_2": "SUITE 106",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554161223",
            "telephone_number": "952-922-1478",
            "fax_number": "952-922-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICK",
        "first_name": "THEODORE",
        "middle_name": "JAMES",
        "credential": "LMT,CMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "00022480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Claire Richardson-Beaird, MA RN CNS
• Annely Richardson, M.D.
• Richmond Psychological Services, LLC
• Adeya Richmond, PHD, LP
• Allison Richmond, OTR/L
• Rachel Lauren Ridenour, PT
• Jocelyn Mary Delia Rieder
• Jennifer Lauren Riff, PH.D.
• Rightway Home Care Services, Inc.
• Riide Minneapolis, Inc

• Massage Therapist in Saint Louis Park, MN
• Providers in Saint Louis Park, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.