Jason Ronald Vanbeusekom, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

2937 Lyndale Ave S Ste 201
Minneapolis, MN 55408-2177

Phone

(612) 590-6017

NPI assigned

Sep 13, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Van Beusekom Enterprises

  • Massage Therapist
  • Minneapolis, MN
  • NPI 1265296859
  NPD Authorized official

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1760269609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 ADAMS ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131443",
            "telephone_number": "612-590-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2937 LYNDALE AVE S STE 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082177",
            "telephone_number": "612-590-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBEUSEKOM",
        "first_name": "JASON",
        "middle_name": "RONALD",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baylee Van Winkle, PSYD
• Emily Rose Van Wyk, PSY.D., LP
• Hannah Gillmer Van Wylen, MSN, APRN, FNP-C
• Jeremy Van'T Hof, M.D.
• Jerald O Vanbeck
• Joseph R Vancamp, MD
• Lauren Vanchina
• Raechel May Vande Walle, OT
• Melanie Vanden Heuvel, AUD
• Allison Rae Vandenberg-Daves, LGSW

• 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 Sep 13, 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.