Individual provider Active NPI

Olivia Hemmersbach

  • Massage Therapist
  • Onalaska, WI
National Provider Identifier
1447028014
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
17356146 Issued in WI
Practice address
577 Braund St
Onalaska, WI 54650-8556
Phone
(608) 406-2488
NPI assigned
Dec 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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 17356146 WI Primary

Addresses

Primary practice location

577 Braund St
Onalaska, WI 54650-8556

Mailing address

577 Braund St
Onalaska, WI 54650-8556

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
17356146WIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
River City Chiropractic S.C. CurrentSince Dec 17, 2023 Accepting new patients
Chiropractic & Physical Therapy, Inc PastSince Dec 17, 2023 Accepting new patients

Locations

577 Braund St
Onalaska, WI 54650
Phone (608) 406-2488

Organizations & group practices 2

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": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1447028014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 BRAUND ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 BRAUND ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508556",
            "telephone_number": "608-406-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMMERSBACH",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "17356146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.