Active NPI
Erin Irene Basel, LMT
- Massage Therapist
- Whitehall, WI
National Provider Identifier
1558087429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14467-146
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14467-146 | WI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pank Chiropractic, Inc. | Current | 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.
-
- Chiropractor
- Whitehall, WI
- NPI 1942446125
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.