Elizabeth Renee Mason, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

4861 Issued in WI

Practice address

1815B S Main St
Rice Lake, WI 54868-3005

Phone

(715) 234-2400

NPI assigned

Apr 14, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bodyology Massage Center

  dba Bodyology

  • Massage Therapist
  • Rice Lake, WI
  • NPI 1528338837
  NPD (past) Authorized official

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1083068266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815B S MAIN ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548683005",
            "telephone_number": "715-234-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815B S MAIN ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548683005",
            "telephone_number": "715-234-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "ELIZABETH",
        "middle_name": "RENEE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "4861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1528338837",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST LICENSE",
            "identifier": "4861",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marshfield Clinic Inc (Marshfield Clinic Pharmacy)
• Marshfield Clinic, Inc. (Marshfield Clinic Rice Lake Center)
• Gwen D Martin, MD
• Peggy Sue Martin, PT
• Peter E Martin, CRNA
• Carol Matthys, NP
• Raelene A Mattson, NP
• Rhonda Renee Mattson, CSAC
• Janice M McClelland
• Patricia A McGown

• Massage Therapist in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• Massage Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.