Active NPI
Hillary Middleton, LMT
- Massage Therapist
- Lake Villa, IL
National Provider Identifier
1396467270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227.018618
- Practice address
- 36735 N Il Route 83 Ste D
Lake Villa, IL 60046-9621 - Phone
- (847) 265-5600
- Fax
- (847) 245-4491
- NPI assigned
- Sep 16, 2022
- Last updated
- Sep 16, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 227.018618 | IL | Primary |
Addresses
Primary practice location
36735 N Il Route 83 Ste D
Lake Villa, IL 60046-9621
Mailing address
36735 N Il Route 83 Ste D
Lake Villa, IL 60046-9621
Phone (847) 265-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227.018618 | Other | IL | STATE LICENSE |
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 |
|---|---|---|---|
| 227.018618 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1396467270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36735 N IL ROUTE 83 STE D",
"city": "LAKE VILLA",
"state": "IL",
"postal_code": "600469621",
"telephone_number": "847-265-5600",
"fax_number": "847-245-4491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36735 N IL ROUTE 83 STE D",
"city": "LAKE VILLA",
"state": "IL",
"postal_code": "600469621",
"telephone_number": "847-265-5600",
"fax_number": "847-245-4491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "HILLARY",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-16",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227.018618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "227.018618",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Villa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.