Individual provider Active NPI

Breeanna Lehman, MT

  • Massage Therapist
  • Oshkosh, WI
National Provider Identifier
1316608763
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
14726-146 Issued in WI
Practice address
2337A Jackson St
Oshkosh, WI 54901-1809
Phone
(920) 385-1750
Fax
(920) 744-1442
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 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 14726-146 WI Primary

Addresses

Primary practice location

2337A Jackson St
Oshkosh, WI 54901-1809

Mailing address

2337A Jackson St
Oshkosh, WI 54901-1809
Phone (920) 385-1750

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.northsidechiros.com/

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
14726-146WIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Chiropractic Center LLC CurrentSince Jan 17, 2022 Accepting new patients

Locations

2337A Jackson St
Oshkosh, WI 54901
Phone (920) 385-1750

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1316608763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337A JACKSON ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549011809",
            "telephone_number": "920-385-1750",
            "fax_number": "920-744-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337A JACKSON ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549011809",
            "telephone_number": "920-385-1750",
            "fax_number": "920-744-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHMAN",
        "first_name": "BREEANNA",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "14726-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.northsidechiros.com/",
            "affiliation": "N",
            "address_1": "2337A Jackson St",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549011809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.