Individual provider Active NPI

Tracey Lorraine Wiegel, CMT

  • Massage Therapist
  • Golden Valley, MN
National Provider Identifier
1801115779
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
8421 Wayzata Blvd Ste 220
Golden Valley, MN 55426-1380
Phone
(763) 458-5875
Fax
(952) 253-3882
NPI assigned
May 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

8421 Wayzata Blvd Ste 220
Golden Valley, MN 55426-1380

Mailing address

8421 Wayzata Blvd Ste 220
Golden Valley, MN 55426-1380
Phone (763) 458-5875

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
Andrashko Chiropractic Plus PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1801115779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 WAYZATA BLVD STE 220",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261380",
            "telephone_number": "763-458-5875",
            "fax_number": "952-253-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 WAYZATA BLVD STE 220",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261380",
            "telephone_number": "763-458-5875",
            "fax_number": "952-253-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGEL",
        "first_name": "TRACEY",
        "middle_name": "LORRAINE",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.