Active NPI
Melanie Rottmann, LMT
- Massage Therapist
- Wheaton, IL
National Provider Identifier
1356740567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227000919
- Practice address
- 416 E Roosevelt Rd
Suite 107
Wheaton, IL 60187-5589 - Phone
- (630) 682-5090
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227000919 | IL | Primary |
Addresses
Primary practice location
416 E Roosevelt Rd
Suite 107
Wheaton, IL 60187-5589
Mailing address
1400 S Meyers Rd
Lombard, IL 60148-4727
Phone (630) 715-2682
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
| License | State | Type | Specialty |
|---|---|---|---|
| 227000919 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1356740567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 S MEYERS RD",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601484727",
"telephone_number": "630-715-2682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 E ROOSEVELT RD",
"address_2": "SUITE 107",
"city": "WHEATON",
"state": "IL",
"postal_code": "601875589",
"telephone_number": "630-682-5090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTTMANN",
"first_name": "MELANIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-14",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227000919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.