The Backrub Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

THE BACKRUB INC

Practice address

762 Cleveland Ave S
Saint Paul, MN 55116-1347

Phone

(651) 698-4567

NPI assigned

Nov 1, 2021

Organization subpart

No

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

Authorized official

Name

Jennifer Elaine Lewis, LMTNPI 1164187514

Title

Owner/Massage Therapist

Phone

(651) 528-2992

Specialties & licenses 1

Addresses

Other names 1

• The Highland Backrub Doing business as

Locations

Practitioners 1

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

• Jennifer Elaine Lewis, LMT

  • Massage Therapist
  • Saint Paul, MN
  • NPI 1164187514
  NPD Authorized official

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1740945104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 SAINT PAUL AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162707",
            "telephone_number": "651-698-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 CLEVELAND AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161347",
            "telephone_number": "651-698-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BACKRUB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "651-528-2992",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Highland Backrub",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Massage Therapist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.