Active NPI
Amy Marilyn Billman
- Massage Therapist
- Hayward, WI
National Provider Identifier
1376776922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1350-046
- Practice address
- 11128N Highway 27/77
Hayward, WI 54843 - Phone
- (715) 634-5316
- NPI assigned
- Aug 31, 2009
- 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 | 1350-046 | WI | Primary |
Addresses
Primary practice location
11128N Highway 27/77
Hayward, WI 54843
Mailing address
75500 McKinley Rd
Washburn, WI 54891-6811
Phone (715) 373-5836
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 |
|---|---|---|---|
| 1350-046 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251676800000",
"number": "1376776922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75500 MCKINLEY RD",
"city": "WASHBURN",
"state": "WI",
"postal_code": "548916811",
"telephone_number": "715-373-5836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11128N HIGHWAY 27/77",
"city": "HAYWARD",
"state": "WI",
"postal_code": "54843",
"telephone_number": "715-634-5316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLMAN",
"first_name": "AMY",
"middle_name": "MARILYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2009-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "1350-046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.