Active NPI
Alice Edena Lipford, NCTMB, WLMT
- Massage Therapist
- Onalaska, WI
National Provider Identifier
1467898775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 57-146
- Practice address
- 1263 County Road PH
Onalaska, WI 54650-8519 - Phone
- (608) 781-2555
- NPI assigned
- May 14, 2013
- 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 | 57-146 | WI | Primary |
Addresses
Primary practice location
1263 County Road PH
Onalaska, WI 54650-8519
Mailing address
1263 County Road PH
Onalaska, WI 54650-8519
Phone (608) 781-2555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| /57-146 | Other | WI | STATE OF WISCONSIN |
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 |
|---|---|---|---|
| 57-146 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1467898775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1263 COUNTY ROAD PH",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546508519",
"telephone_number": "608-781-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1263 COUNTY ROAD PH",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546508519",
"telephone_number": "608-781-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPFORD",
"first_name": "ALICE",
"middle_name": "EDENA",
"name_prefix": "Mrs.",
"credential": "NCTMB, WLMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-14",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "57-146",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WISCONSIN",
"identifier": "/57-146",
"state": "WI"
}
],
"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 May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.