Elite Therapeutic Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ELITE THERAPEUTIC MASSAGE LLC

Practice address

1121 Westrac Dr S Ste 102
Fargo, ND 58103-2385

Phone

(701) 297-8191

NPI assigned

Sep 3, 2024

Organization subpart

No

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

Authorized official

Name

Rochelle M Hagen, LMT

Title

Owner/Operator

Phone

(701) 297-8191

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marqelle Nicole Albrecht, D.C.

  • Chiropractor
  • Fargo, ND
  • NPI 1447618046
  NPD (past)
• Michelle Lee Bierdeman, LMT

  • Massage Therapist
  • Fargo, ND
  • NPI 1740530633
  NPD (past)
• Lynette Danuser, LMT

  • Massage Therapist
  • Fargo, ND
  • NPI 1063750966
  NPD (past)
• Lisa Marie Wourms

  • Massage Therapist
  • Fargo, ND
  • NPI 1104129527
  NPD (past)

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1700611571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 WESTRAC DR S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032385",
            "telephone_number": "701-297-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 WESTRAC DR S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032385",
            "telephone_number": "701-297-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE THERAPEUTIC MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "701-297-8191",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan M Eliassen, LSW
• Elim Homes
• Elim Homes, Inc
• Elim Homes, Inc.
• Elite Homecare LLP
• Donna Ellenson, PA
• Donna Durand Ellig, MS OTRL
• Amanda Ellingson, RN
• Hailey Ellingson, PSYD
• Lori Ellingson, FNP

• All providers in Fargo, ND
• Massage Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.