Individual provider Active NPI

Erin Irene Basel, LMT

  • Massage Therapist
  • Whitehall, WI
National Provider Identifier
1558087429
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
14467-146 Issued in WI
Practice address
36321 Main St
Whitehall, WI 54773-9186
Phone
(715) 538-2333
NPI assigned
Oct 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 14467-146 WI Primary

Addresses

Primary practice location

36321 Main St
Whitehall, WI 54773-9186

Mailing address

W18718 Lund Rd
Strum, WI 54770-2604
Phone (715) 200-1026

Other practice location 1

W18718 Lund Rd
Strum, WI 54770-2604
Phone (715) 200-1026

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
14467-146WIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pank Chiropractic, Inc. CurrentSince Oct 16, 2022 Accepting new patients

Locations

36321 Main St
Whitehall, WI 54773
Phone (715) 538-2333

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1558087429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W18718 LUND RD",
            "city": "STRUM",
            "state": "WI",
            "postal_code": "547702604",
            "telephone_number": "715-200-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36321 MAIN ST",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "547739186",
            "telephone_number": "715-538-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W18718 Lund Rd",
            "address_purpose": "LOCATION",
            "city": "Strum",
            "state": "WI",
            "postal_code": "547702604",
            "country_code": "US",
            "telephone_number": "715-200-1026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASEL",
        "first_name": "ERIN",
        "middle_name": "IRENE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "14467-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.