Active NPI
Dawn Niedfeldt, LMT
- Massage Therapist
- Plymouth, WI
National Provider Identifier
1053027912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14012
- Practice address
- 435 E Mill St Ste 1
Plymouth, WI 53073-1840 - Phone
- (920) 254-3800
- NPI assigned
- Jan 24, 2023
- Last updated
- Jan 24, 2023
- 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 | 14012 | WI | Primary |
Addresses
Primary practice location
435 E Mill St Ste 1
Plymouth, WI 53073-1840
Mailing address
122 Stafford St
Plymouth, WI 53073-1810
Phone (920) 254-3800
Other names 1
- Dawn Benson
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 |
|---|---|---|---|
| 14012 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1053027912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 STAFFORD ST",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530731810",
"telephone_number": "920-254-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 E MILL ST STE 1",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530731840",
"telephone_number": "920-254-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEDFELDT",
"first_name": "DAWN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-24",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "14012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAWN",
"last_name": "BENSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plymouth, WI
- Judith A Nelson, R.N.
- Rachel M Nelson, LCSW, CSAC
- Juliane R Nevers, PA-C
- Next Chapter Behavioral Health & Wellness LLC
- Carrie Nickel
- Julia K Niver, MS, CADC III
- Northern Wisconsin Geriatric Psychological Services, SC
- Northland Hearing Centers, Inc. (Pickart Hearing Services, LLC.)
- NSH Plymouth LLC (Plymouth Health Services)
- NSH Plymouth-Southern LLC (Southern Horizon Assisted Living)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.