Active NPI
Rebecca M Kasten, LMT
- Massage Therapist
- Kewaunee, WI
National Provider Identifier
1114436284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 12309-146
- Practice address
- 224 Ellis St.
Kewaunee, WI 54216 - Phone
- (920) 388-0285
- NPI assigned
- Sep 21, 2017
- Last updated
- Sep 21, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 622934-12NC8TMB | ||
| Massage Therapist | 225700000X | 1289871AMTA | ||
| Massage Therapist | 225700000X | 12309-146 | WI | Primary |
Addresses
Primary practice location
224 Ellis St.
Kewaunee, WI 54216
Mailing address
224 Ellis St.
Kewaunee, WI 54216
Phone (920) 388-0285
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 |
|---|---|---|---|
| 12309-146 | WI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kewaunee Chiropractic Works LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Kewaunee, WI
- NPI 1063618502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505952000000",
"number": "1114436284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 ELLIS ST.",
"city": "KEWAUNEE",
"state": "WI",
"postal_code": "54216",
"telephone_number": "920-388-0285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 ELLIS ST.",
"city": "KEWAUNEE",
"state": "WI",
"postal_code": "54216",
"telephone_number": "920-388-0285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASTEN",
"first_name": "REBECCA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-21",
"last_updated": "2017-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": "622934-12NC8TMB",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": "1289871AMTA",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "12309-146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kewaunee, WI
- Marcia Ann Hayes
- Stephanie Nicole Iossi, BS
- Monica I Jacobson, PHD
- Lindsey Jane Jenerjohn
- Jeffrey H Jenswold, MSW CICSW CADC
- Tricia Lynn Keister, R.N.
- Kenneth J & Marilyn M Secor (Linden Manor)
- Kenneth J & Marilyn M Secor (Silver Leaf Manor)
- Kewaunee Care Center LLC (D/B/a Atrium Post Acute Care of Kewaunee)
- Kewaunee Chiropractic Works LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.