Individual provider Active NPI

Gregory Zilberg

  • Massage Therapist
  • Plymouth, MN
National Provider Identifier
1871141523
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
14190 55TH PL N
Plymouth, MN 55446-2018
Phone
(612) 282-7500
NPI assigned
Aug 27, 2019
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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 NU Primary

Addresses

Primary practice location

14190 55TH PL N
Plymouth, MN 55446-2018

Mailing address

14190 55TH PL N
Plymouth, MN 55446-2018
Phone (612) 282-7500

Other practice location 1

23505 Smithtown Rd Ste 100
Excelsior, MN 55331-4542
Phone (952) 470-8555

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
Knewtson Family Chiropractic PA Current Accepting new patients

Locations

23505 Smithtown Rd
Ste 100
Shorewood, MN 55331
Phone (952) 426-0874

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1871141523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14190 55TH PL N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554462018",
            "telephone_number": "612-282-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14190 55TH PL N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554462018",
            "telephone_number": "612-282-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23505 Smithtown Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Excelsior",
            "state": "MN",
            "postal_code": "553314542",
            "country_code": "US",
            "telephone_number": "952-470-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZILBERG",
        "first_name": "GREGORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.