Polaris Bodywork LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

POLARIS BODYWORK LLC

Practice address

2937 Lyndale Ave S
Minneapolis, MN 55408-2171

Phone

(612) 879-8000

NPI assigned

Apr 11, 2023

Last updated

Apr 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ivy Anderson, CMT

Title

Owner

Phone

(651) 354-1944

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ivy Anderosn, CMT

  • Massage Therapist
  • Minneapolis, MN
  • NPI 1881389146
  NPD

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1689369951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 ARMSTRONG AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023815",
            "telephone_number": "651-354-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2937 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082171",
            "telephone_number": "612-879-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS BODYWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-354-1944",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payam Pojhan, M.D
• Laxmi Pokhrel, RN
• Sandra Ann Polachek, FNP-BC
• Madeline Marie Poland, AUD
• Amanda Rae Polanski, CGC
• Polaris Care LLC
• Ingrid C Polcari, M.D.
• Krista Polding, DPT
• Lindsay Mikaelle Policano, D.C.
• Renee L Polikowsky, D.C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.