Individual provider Active NPI

Christina Cass, LMT

  • Massage Therapist
  • Oconomowoc, WI
National Provider Identifier
1073321535
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
47-14339 Issued in WI
Practice address
N56W39325 Wisconsin Ave Unit B
Oconomowoc, WI 53066-2192
Phone
(262) 297-8027
NPI assigned
Dec 30, 2024
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 47-14339 WI Primary
Religious Nonmedical Practitioner 374K00000X PWA-4550168 WI

Addresses

Primary practice location

N56W39325 Wisconsin Ave Unit B
Oconomowoc, WI 53066-2192

Mailing address

W1983 Main St
Sullivan, WI 53178-9622
Phone (262) 297-8027

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
47-14339WIMDMassage Therapist
PWA-4550168WIMDReligious Nonmedical Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1073321535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W1983 MAIN ST",
            "city": "SULLIVAN",
            "state": "WI",
            "postal_code": "531789622",
            "telephone_number": "262-297-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N56W39325 WISCONSIN AVE UNIT B",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530662192",
            "telephone_number": "262-297-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASS",
        "first_name": "CHRISTINA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "47-14339",
            "primary": true
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": "WI",
            "license": "PWA-4550168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconomowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.