Individual provider Active NPI

Lisa Adreani, LMT

  • Massage Therapist
  • Mount Prospect, IL
National Provider Identifier
1053729178
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227.011882 Issued in IL
Practice address
106 S Emerson St
Mt Prospect, IL 60056-3220
Phone
(847) 368-1234
Fax
(847) 603-7478
NPI assigned
Aug 1, 2014
Last updated
Aug 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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 227.011882 IL Primary

Addresses

Primary practice location

106 S Emerson St
Mt Prospect, IL 60056-3220

Mailing address

4829 Crain St Apt 1
Skokie, IL 60077-5431
Phone (847) 924-7600

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
227.011882ILMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynapeak Fitness and Physical Therapy, PC PastSince Apr 14, 2017 Accepting new patients
Breton Chiropractic, LTD Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1053729178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 CRAIN ST APT 1",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600775431",
            "telephone_number": "847-924-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S EMERSON ST",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563220",
            "telephone_number": "847-368-1234",
            "fax_number": "847-603-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADREANI",
        "first_name": "LISA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.011882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.