Active NPI
Whitney E Burtenshaw, LMT
- Massage Therapist
- Pleasant Grove, UT
National Provider Identifier
1821437641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8407908-4701
- Practice address
- 904 S Main St
Pleasant Grove, UT 84062-3560 - Phone
- (801) 687-3957
- NPI assigned
- Jun 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 8407908-4701 | UT | Primary |
Addresses
Primary practice location
904 S Main St
Pleasant Grove, UT 84062-3560
Mailing address
904 S Main St
Pleasant Grove, UT 84062-3560
Phone (801) 687-3957
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8407908-4701 | UT | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Massage & Bodywork LLC | Massage Therapist | 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": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371168000000",
"number": "1821437641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 S MAIN ST",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840623560",
"telephone_number": "801-687-3957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 S MAIN ST",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840623560",
"telephone_number": "801-687-3957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTENSHAW",
"first_name": "WHITNEY",
"middle_name": "E",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-14",
"last_updated": "2013-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "8407908-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Grove, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.