Active NPI
Jodi Marie Pikula, MT
- Massage Therapist
- Elk River, MN
National Provider Identifier
1649839986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 710 Dodge Ave
Suite C
Elk River, MN 55330 - Phone
- (763) 360-2292
- NPI assigned
- Jun 11, 2019
- 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 | Primary |
Addresses
Primary practice location
710 Dodge Ave
Suite C
Elk River, MN 55330
Mailing address
710 Dodge Ave
Suite C
Elk River, MN 55330
Phone (763) 360-2292
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
- Credentials
- Medical Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1649839986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 DODGE AVE",
"address_2": "SUITE C",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "55330",
"telephone_number": "763-360-2292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 DODGE AVE",
"address_2": "SUITE C",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "55330",
"telephone_number": "763-360-2292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIKULA",
"first_name": "JODI",
"middle_name": "MARIE",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.