Individual provider Active NPI

Grabiel Meza, LMT

  • Massage Therapist
  • Muskego, WI
National Provider Identifier
1043025943
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
15451-146 Issued in WI
Practice address
S69W15689 Janesville Rd
Muskego, WI 53150-7947
Phone
(414) 422-1203
NPI assigned
Feb 10, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 15451-146 WI Primary

Addresses

Primary practice location

S69W15689 Janesville Rd
Muskego, WI 53150-7947

Mailing address

2153 S 66TH St
West Allis, WI 53219-1367
Phone (414) 551-6476

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

LicenseStateTypeSpecialty
15451-146WIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Muskego Health and Wellness Center SC CurrentSince Feb 23, 2025 Accepting new patients
Chiropractic Associatess of Kenosha a S C PastSince Feb 23, 2025 Accepting new patients

Locations

S69W15689 Janesville Rd
Muskego, WI 53150
Phone (414) 422-1203

Organizations & group practices 2

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": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1043025943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 S 66TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532191367",
            "telephone_number": "414-551-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S69W15689 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531507947",
            "telephone_number": "414-422-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA",
        "first_name": "GRABIEL",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "15451-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskego, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.