Active NPI
Katy A Kaminski, MT
- Massage Therapist
- Kaukauna, WI
National Provider Identifier
1003019035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3986-046
- Practice address
- 500 Lawe St
Kaukauna, WI 54130-2022 - Phone
- (920) 766-3741
- Fax
- (920) 766-4217
- NPI assigned
- Jun 7, 2007
- 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 | 3986-046 | WI | Primary |
Addresses
Primary practice location
500 Lawe St
Kaukauna, WI 54130-2022
Mailing address
500 Lawe St
Kaukauna, WI 54130-2022
Phone (920) 766-3741
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
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3986-046 | WI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breitbach Dragosh Chiropractic Clinic, S.C. | 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.
-
- Chiropractor
- Kaukauna, WI
- NPI 1134211311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1003019035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 LAWE ST",
"city": "KAUKAUNA",
"state": "WI",
"postal_code": "541302022",
"telephone_number": "920-766-3741",
"fax_number": "920-766-4217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LAWE ST",
"city": "KAUKAUNA",
"state": "WI",
"postal_code": "541302022",
"telephone_number": "920-766-3741",
"fax_number": "920-766-4217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINSKI",
"first_name": "KATY",
"middle_name": "A",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "3986-046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaukauna, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.