Active NPI
Tylyn J O'Brien
- Massage Therapist
- Minneapolis, MN
National Provider Identifier
1932984465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 1224 2ND St NE
Minneapolis, MN 55413-1130 - Phone
- (612) 345-5648
- NPI assigned
- Aug 31, 2023
- 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 | MN | Primary |
Addresses
Primary practice location
1224 2ND St NE
Minneapolis, MN 55413-1130
Mailing address
1224 2ND St NE
Minneapolis, MN 55413-1130
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Integrative Health Studio | Massage Therapist | Current | Accepting new patients |
Locations
1224 2nd St NE
Minneapolis, MN 55413
Phone (612) 345-5648
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": "1693440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1932984465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 2ND ST NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554131130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 2ND ST NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554131130",
"telephone_number": "612-345-5648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "TYLYN",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-31",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.