Active NPI
Virginia F Pawlak
- Massage Therapist
- Alma, WI
National Provider Identifier
1013422641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14456
- Practice address
- 115 S Main St
Alma, WI 54610-7712 - Phone
- (608) 685-6400
- NPI assigned
- Dec 5, 2017
- Last updated
- Dec 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 14456 | WI | Primary |
Addresses
Primary practice location
115 S Main St
Alma, WI 54610-7712
Mailing address
115 S Main St
Alma, WI 54610-7712
Phone (608) 418-0756
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14456 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512432000000",
"number": "1013422641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 S MAIN ST",
"city": "ALMA",
"state": "WI",
"postal_code": "546107712",
"telephone_number": "608-418-0756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 S MAIN ST",
"city": "ALMA",
"state": "WI",
"postal_code": "546107712",
"telephone_number": "608-685-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAWLAK",
"first_name": "VIRGINIA",
"middle_name": "F",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-05",
"last_updated": "2017-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "14456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alma, WI
- Catalyst for Change Consultants
- County of Buffalo
- Aaron Michael Johnson, M.S. TMFT
- Kassel City Drug LLC (Kassel City Drug)
- Karen Quinn
- Saint Elizabeths Hospital of Wabasha Inc (Gundersen St. Elizabeth's Hospital and Clinics)
- Saint Elizabeths Hospital of Wabasha Inc (Gundersen St. Elizabeth's Hospital and Clinics)
- School District of Alma
- Western Buffalo County Ambulance Service
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.