Active NPI
Katie Anneliese Hanlon
- Massage Therapist
- Minnetonka, MN
National Provider Identifier
1679286298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 12455 Ridgedale Dr Ste 203
Minnetonka, MN 55305-1786 - Phone
- (952) 314-7035
- NPI assigned
- Dec 28, 2022
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
12455 Ridgedale Dr Ste 203
Minnetonka, MN 55305-1786
Mailing address
412 W 26TH St Apt 2
Minneapolis, MN 55405-3430
Phone (218) 234-7152
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunu Chiropractic, Inc. | Current | Accepting new patients |
Locations
12455 Ridgedale Dr
Ste 203
Minnetonka, MN 55305
Phone (952) 314-7035
Organizations & group practices 1
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.
-
- Chiropractor
- Minnetonka, MN
- NPI 1992002661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1679286298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 W 26TH ST APT 2",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554053430",
"telephone_number": "218-234-7152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12455 RIDGEDALE DR STE 203",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051786",
"telephone_number": "952-314-7035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLON",
"first_name": "KATIE",
"middle_name": "ANNELIESE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-28",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"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 Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.