Individual provider Active NPI

Danica Krizic, MASSAGE THERAPIST

  • Massage Therapist
  • St Louis Park, MN
National Provider Identifier
1740710599
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
5009 Excelsior Blvd Ste 141
St Louis Park, MN 55416-3035
Phone
(952) 255-9399
NPI assigned
Jun 14, 2017
Last updated
Mar 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MN
Massage Therapist 225700000X Primary

Addresses

Primary practice location

5009 Excelsior Blvd Ste 141
St Louis Park, MN 55416-3035

Mailing address

5009 Excelsior Blvd Ste 141
St Louis Park, MN 55416-3035
Phone (952) 255-9399

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

OrganizationSpecialtyStatusNew patients
Improved Health Therapeutic Massage Current Accepting new patients

Locations

5009 Excelsior Blvd
Ste 141
St Louis Park, MN 55416
Phone (952) 255-9399

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1740710599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 EXCELSIOR BLVD STE 141",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163035",
            "telephone_number": "952-255-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 EXCELSIOR BLVD STE 141",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163035",
            "telephone_number": "952-255-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIZIC",
        "first_name": "DANICA",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.

Verify at the official NPI Registry.