Active NPI
Antoine Demar Schneider
- Massage Therapist
- Chippewa Falls, WI
National Provider Identifier
1528744539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10718-146
- Practice address
- 107 N Bridge St
Chippewa Falls, WI 54729-2404 - Phone
- (715) 226-5807
- NPI assigned
- Jun 26, 2023
- Last updated
- Jun 26, 2023
- Sex
- Male
- 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 | 10718-146 | WI | Primary |
Addresses
Primary practice location
107 N Bridge St
Chippewa Falls, WI 54729-2404
Mailing address
1207 Pine Acre LN Apt 4
Chippewa Falls, WI 54729-8813
Phone (715) 226-5807
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 |
|---|---|---|---|
| 10718-146 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1528744539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 PINE ACRE LN APT 4",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547298813",
"telephone_number": "715-226-5807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 N BRIDGE ST",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547292404",
"telephone_number": "715-226-5807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "ANTOINE",
"middle_name": "DEMAR",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-26",
"last_updated": "2023-06-26",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "10718-146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chippewa Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.