Active NPI
Will W Bayne, LMT
- Massage Therapist
- Grand Forks, ND
National Provider Identifier
1649607763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 758
- Practice address
- 4401 S 11TH St
Grand Forks, ND 58201-7238 - Phone
- (701) 732-7570
- NPI assigned
- Oct 3, 2013
- Last updated
- Oct 3, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 758 | ND | Primary |
Addresses
Primary practice location
4401 S 11TH St
Grand Forks, ND 58201-7238
Mailing address
4401 S 11TH St
Grand Forks, ND 58201-7238
Phone (701) 732-7570
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 |
|---|---|---|---|
| 758 | ND | MD | Neurology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1649607763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 S 11TH ST",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582017238",
"telephone_number": "701-732-7570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 S 11TH ST",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582017238",
"telephone_number": "701-732-7570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYNE",
"first_name": "WILL",
"middle_name": "W",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-03",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ND",
"license": "758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.