Active NPI
Doriann Lorraine Gruhlke
- Massage Therapist
- Fort Collins, CO
National Provider Identifier
1700226453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0019386
- Practice address
- 1337 E Prospect Rd
Fort Collins, CO 80525-1115 - Phone
- (970) 818-0578
- NPI assigned
- Jun 26, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Massage Therapist | 225700000X | MT.0019386 | CO | Primary |
Addresses
Primary practice location
1337 E Prospect Rd
Fort Collins, CO 80525-1115
Mailing address
121 2ND St
Fort Collins, CO 80524-2510
Phone (970) 818-0578
Other practice location 1
2308 Springvale Ct
Duluth, MN 55811-3149
Phone (218) 348-6888
Other names 1
- Danni Gruhlke
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 |
|---|---|---|---|
| MT.0019386 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accentucare, Inc | Past | Accepting new patients |
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.
-
- Home Health Agency
- Duluth, MN
- NPI 1558639229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1700226453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 2ND ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242510",
"telephone_number": "970-818-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1337 E PROSPECT RD",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805251115",
"telephone_number": "970-818-0578"
}
],
"practiceLocations": [
{
"address_1": "2308 Springvale Ct",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558113149",
"country_code": "US",
"telephone_number": "218-348-6888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRUHLKE",
"first_name": "DORIANN",
"middle_name": "LORRAINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0019386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANNI",
"last_name": "GRUHLKE",
"credential": "LMT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.