Individual provider Active NPI

Mary Janine Rajkowski, RN BSN NATIONALLY CE

  • Nurse Massage Therapist (NMT)
  • West St Paul, MN
National Provider Identifier
1952426397
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X
License
R0967826 Issued in MN
Practice address
238 Wentworth Ave E
Gladstone Park Medical BLDG
West St Paul, MN 55118-3525
Phone
(651) 455-0473
Fax
(651) 455-2355
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Massage Therapist (NMT) 163WM1400X R0967826 MN Primary
Massage Therapist 225700000X R0967826 MN

Addresses

Primary practice location

238 Wentworth Ave E
Gladstone Park Medical BLDG
West St Paul, MN 55118-3525

Mailing address

238 Wentworth Ave E
Gladstone Park Medical BLDG
West St Paul, MN 55118-3525
Phone (651) 455-0473

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R0967826MNMDNurse Massage Therapist (NMT)

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1952426397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 WENTWORTH AVE E",
            "address_2": "GLADSTONE PARK MEDICAL BLDG",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183525",
            "telephone_number": "651-455-0473",
            "fax_number": "651-455-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 WENTWORTH AVE E",
            "address_2": "GLADSTONE PARK MEDICAL BLDG",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183525",
            "telephone_number": "651-455-0473",
            "fax_number": "651-455-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJKOWSKI",
        "first_name": "MARY JANINE",
        "credential": "RN BSN NATIONALLY CE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "MN",
            "license": "R0967826",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "R0967826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West St Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.