Individual provider Active NPI

Alexis Jade Hoffner

  • Massage Therapist
  • Saint Paul, MN
National Provider Identifier
1861081465
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
1563 Como Ave Ste 105
Saint Paul, MN 55108-2546
Phone
(763) 270-9330
Fax
(763) 299-8621
NPI assigned
Jan 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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 MN Primary

Addresses

Primary practice location

1563 Como Ave Ste 105
Saint Paul, MN 55108-2546

Mailing address

1563 Como Ave Ste 105
Saint Paul, MN 55108-2546
Phone (763) 270-9330

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
Return to Play Institute, LLC Massage Therapist CurrentSince Feb 1, 2021 Accepting new patients

Locations

1563 Como Ave
Ste 105
Saint Paul, MN 55108
Phone (763) 270-9330

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": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1861081465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 COMO AVE STE 105",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082546",
            "telephone_number": "763-270-9330",
            "fax_number": "763-299-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 COMO AVE STE 105",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082546",
            "telephone_number": "763-270-9330",
            "fax_number": "763-299-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFNER",
        "first_name": "ALEXIS",
        "middle_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

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