Individual provider Active NPI

Rachel L Perry Gilbertson, LMT

  • Massage Therapist
  • Edgerton, WI
National Provider Identifier
1194948224
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
619-046 Issued in WI
Practice address
229 E Sherman Rd
Edgerton, WI 53534-9003
Phone
(608) 884-8833
Fax
(608) 884-8383
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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 619-046 WI Primary

Addresses

Primary practice location

229 E Sherman Rd
Edgerton, WI 53534-9003

Mailing address

229 E Sherman Rd
Edgerton, WI 53534-9003
Phone (608) 884-8833

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
619-046WIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1194948224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 E SHERMAN RD",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "535349003",
            "telephone_number": "608-884-8833",
            "fax_number": "608-884-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E SHERMAN RD",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "535349003",
            "telephone_number": "608-884-8833",
            "fax_number": "608-884-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY GILBERTSON",
        "first_name": "RACHEL",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "619-046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgerton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.