Active NPI
No Knots Therapeutic Massage
- Massage Therapist
- Fond Du Lac, WI
National Provider Identifier
1467877837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3047-146
- Legal business name
- NO KNOTS THERAPEUTIC MASSAGE
- Practice address
- 976 E Johnson St Ste 900
Fond Du Lac, WI 54935-9747 - Phone
- (920) 539-8289
- NPI assigned
- Feb 21, 2014
- Last updated
- Feb 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Vanderloop
- Title
- Owner / Licensed Massage Therapist
- Phone
- (920) 539-9298
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 10816-146 | WI | |
| Massage Therapist | 225700000X | 4559-146 | WI | |
| Massage Therapist | 225700000X | 2742-146 | WI | |
| Massage Therapist | 225700000X | 3047-146 | WI | Primary |
Addresses
Primary practice location
976 E Johnson St Ste 900
Fond Du Lac, WI 54935-9747
Mailing address
PO Box 85
Mayville, WI 53050-0085
Phone (920) 539-8289
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Massage Therapist
- Fond Du Lac, WI
- NPI 1427473883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392940800000",
"number": "1467877837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 85",
"city": "MAYVILLE",
"state": "WI",
"postal_code": "530500085",
"telephone_number": "920-539-8289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "976 E JOHNSON ST STE 900",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549359747",
"telephone_number": "920-539-8289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NO KNOTS THERAPEUTIC MASSAGE",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-21",
"last_updated": "2014-02-21",
"status": "A",
"authorized_official_last_name": "VANDERLOOP",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "OWNER / LICENSED MASSAGE THERAPIST",
"authorized_official_telephone_number": "920-539-9298"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "10816-146",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "4559-146",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "2742-146",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "3047-146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fond Du Lac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.