Individual provider Active NPI

Rebecca Arrichiello, L.M.T.

  • Massage Therapist
  • Brookfield, WI
National Provider Identifier
1093403776
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
12275-146 Issued in WI
Practice address
13730 W Greenfield Ave
Brookfield, WI 53005-7115
Phone
(262) 244-7600
NPI assigned
May 1, 2023
Last updated
May 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 12275-146 WI Primary

Addresses

Primary practice location

13730 W Greenfield Ave
Brookfield, WI 53005-7115

Mailing address

8705 N 54TH St
Brown Deer, WI 53223-3019
Phone (262) 442-5680

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
12275-146WIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
One Source Wellness & Chiropractic Massage Therapist CurrentSince Oct 1, 2023 Accepting new patients
One Source Wellness and Chiropractic LLC CurrentSince May 7, 2023 Accepting new patients

Locations

13730 W Greenfield Ave
Brookfield, WI 53005
Phone (262) 244-7600

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1093403776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 N 54TH ST",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532233019",
            "telephone_number": "262-442-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13730 W GREENFIELD AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530057115",
            "telephone_number": "262-244-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRICHIELLO",
        "first_name": "REBECCA",
        "credential": "L.M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "12275-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

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

Verify at the official NPI Registry.