Individual provider Active NPI

Emilia Linda Covelli

  • Massage Therapist
  • Racine, WI
National Provider Identifier
1356071740
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
10863-146 Issued in WI
Practice address
3321 Rapids Dr
Racine, WI 53404-1603
Phone
(262) 930-2026
NPI assigned
Jun 16, 2022
Last updated
Jun 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 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 10863-146 WI Primary

Addresses

Primary practice location

3321 Rapids Dr
Racine, WI 53404-1603

Mailing address

1026 Coronada Dr
Racine, WI 53402-3424
Phone (262) 930-2026

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
10863-146WIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapies for the Ultimate Human Body & Natural Hair Barbery Multi-Specialty CurrentSince Jun 21, 2022 Accepting new patients

Locations

3321 Rapids Dr
Racine, WI 53404
Phone (262) 930-2026

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.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1356071740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 CORONADA DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534023424",
            "telephone_number": "262-930-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 RAPIDS DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534041603",
            "telephone_number": "262-930-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVELLI",
        "first_name": "EMILIA",
        "middle_name": "LINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "10863-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.