Individual provider Active NPI

Emily Schaldach, MT

  • Massage Therapist
  • Sparta, WI
National Provider Identifier
1215525514
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
15320-146 Issued in WI
Practice address
415 W Wisconsin St Ste 4
Sparta, WI 54656-2493
Phone
(608) 269-4511
Fax
(608) 788-8103
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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 15320-146 WI Primary

Addresses

Primary practice location

415 W Wisconsin St Ste 4
Sparta, WI 54656-2493

Mailing address

415 W Wisconsin St Ste 4
Sparta, WI 54656-2493
Phone (608) 269-4511

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
15320-146WIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Place LLC CurrentSince Jan 10, 2021 Accepting new patients
Allied Health of Wisconsin, SC PastSince Jan 10, 2021 Accepting new patients

Locations

415 W Wisconsin St
Ste 4
Sparta, WI 54656
Phone (608) 269-4511

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1215525514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W WISCONSIN ST STE 4",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546562493",
            "telephone_number": "608-269-4511",
            "fax_number": "608-788-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W WISCONSIN ST STE 4",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546562493",
            "telephone_number": "608-269-4511",
            "fax_number": "608-788-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALDACH",
        "first_name": "EMILY",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "15320-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.