Individual provider Active NPI

Cassie M Piske, LMT RYT

  • Massage Therapist
  • Belvidere, IL
National Provider Identifier
1467096271
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227.012876 Issued in IL
Practice address
109 Buchanan St
Suite B
Belvidere, IL 61008
Phone
(815) 985-6323
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 227.012876 IL Primary

Addresses

Primary practice location

109 Buchanan St
Suite B
Belvidere, IL 61008

Mailing address

109 Buchanan St
Suite B
Belvidere, IL 61008

Other names 1

  • Cassie M Steele Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Belvidere

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
227.012876ILMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1467096271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BUCHANAN ST",
            "address_2": "SUITE B",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "61008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BUCHANAN ST",
            "address_2": "SUITE B",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "61008",
            "telephone_number": "815-985-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISKE",
        "first_name": "CASSIE",
        "middle_name": "M",
        "credential": "LMT RYT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.012876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Belvidere",
            "affiliation": "N",
            "address_1": "521 S State St",
            "city": "Belvidere",
            "state": "IL",
            "country_code": "US",
            "postal_code": "610083745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CASSIE",
            "last_name": "STEELE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belvidere, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.