Active NPI
Hannah M Studebaker, L.M.T.
- Massage Therapist
- Dekalb, IL
National Provider Identifier
1033627583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227-019312
- Practice address
- 3266 Sycamore Road
Dekalb, IL 60115 - Phone
- (815) 756-8524
- Fax
- (815) 756-1841
- NPI assigned
- Jan 18, 2018
- 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 | 227-019312 | IL | Primary |
Addresses
Primary practice location
3266 Sycamore Road
Dekalb, IL 60115
Mailing address
3266 Sycamore Road
Dekalb, IL 60115
Phone (815) 756-8524
Other names 1
- Ms. Hannah M Bergman
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 |
|---|---|---|---|
| 227-019312 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516233600000",
"number": "1033627583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3266 SYCAMORE ROAD",
"city": "DEKALB",
"state": "IL",
"postal_code": "60115",
"telephone_number": "815-756-8524",
"fax_number": "815-756-1841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3266 SYCAMORE ROAD",
"city": "DEKALB",
"state": "IL",
"postal_code": "60115",
"telephone_number": "815-756-8524",
"fax_number": "815-756-1841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUDEBAKER",
"first_name": "HANNAH",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-18",
"last_updated": "2018-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227-019312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "BERGMAN",
"middle_name": "M",
"prefix": "MS.",
"credential": "L.M.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.