Individual provider Active NPI

Heather Klein, LMT

  • Massage Therapist
  • Lawrenceville, IL
National Provider Identifier
1497381644
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227020526 Issued in IL
Practice address
20014 State Route 33 E
Lawrenceville, IL 62439-4595
Phone
(618) 928-3524
NPI assigned
Mar 19, 2020
Last updated
Mar 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 21806550 IN
Massage Therapist 225700000X 227020526 IL Primary

Addresses

Primary practice location

20014 State Route 33 E
Lawrenceville, IL 62439-4595

Mailing address

20014 State Route 33 E
Lawrenceville, IL 62439-4595
Phone (618) 928-3524

Other practice location 1

205 Wilbur St
Vincennes, IN 47591-5475
Phone (618) 928-3524

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
227020526ILMDMassage Therapist
21806550INMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1497381644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20014 STATE ROUTE 33 E",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624394595",
            "telephone_number": "618-928-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20014 STATE ROUTE 33 E",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624394595",
            "telephone_number": "618-928-3524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Wilbur St",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475915475",
            "country_code": "US",
            "telephone_number": "618-928-3524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "HEATHER",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "21806550",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227020526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.