Sophia E Strom de Maciel, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

8640 3Rd Ave S
Bloomington, MN 55420-2933

Phone

(612) 282-0858

NPI assigned

Feb 24, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sophia E Acosta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Rejuv Massage and Bodywork LLC

  • Massage Therapist
  • Bloomington, MN
  • NPI 1700250404
  NPD (past) Authorized official

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1669746483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8640 3RD AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202933",
            "telephone_number": "612-282-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 3RD AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202933",
            "telephone_number": "612-282-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROM DE MACIEL",
        "first_name": "SOPHIA",
        "middle_name": "E",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-24",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "ACOSTA",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Elizabeth Strauss
• Streamline Home Care LLC
• Sarah Streitz-Kaplan
• Emma Stricker
• Amy Leigh Strohman, LPCC
• Trent Stromme
• Katelyn Struntz
• James K Struve, MD
• Robert W Stuart, MD
• Suburban Home Health Care Agency, LLC

• Massage Therapist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.