Individual provider Active NPI

Pamela J Jankoski, LMT

  • Massage Therapist
  • Sheboygan, WI
National Provider Identifier
1255077368
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
14175-146 Issued in WI
Practice address
841 Riverfront Dr
Sheboygan, WI 53081-4656
Phone
(920) 395-8495
NPI assigned
May 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2022

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 14175-146 WI Primary

Addresses

Primary practice location

841 Riverfront Dr
Sheboygan, WI 53081-4656

Mailing address

841 Riverfront Dr
Sheboygan, WI 53081-4656
Phone (920) 395-8495

Other practice location 1

841 Riverfront Drive
Sheboygan, WI 53081
Phone (920) 395-8495

Other practice location 2

841 Riverfront Dr
Sheboygan, WI 53081-4656
Phone (920) 395-8495

Other practice location 3

841 Riverfront Dr
Sheboygan, WI 53081-4656
Phone (920) 395-8495

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
14175-146WIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sisterhood Wellness Inc CurrentSince May 16, 2022 Accepting new patients
Sisterhood Services LLC Massage Therapist CurrentSince May 16, 2022 Accepting new patients

Locations

841 Riverfront Dr
Sheboygan, WI 53081
Phone (920) 234-6852

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": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1255077368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 RIVERFRONT DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814656",
            "telephone_number": "920-395-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 RIVERFRONT DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814656",
            "telephone_number": "920-395-8495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "841 Riverfront Drive",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "53081",
            "country_code": "US",
            "telephone_number": "920-395-8495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "841 Riverfront Dr",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530814656",
            "country_code": "US",
            "telephone_number": "920-395-8495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "841 Riverfront Dr",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530814656",
            "country_code": "US",
            "telephone_number": "920-395-8495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANKOSKI",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "14175-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.