Active NPI
Amelia Louise Staffeldt, LMT
- Massage Therapist
- Sussex, WI
National Provider Identifier
1568194702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 12778
- Practice address
- N64W24050 Main St Ste 306B
Sussex, WI 53089-3000 - Phone
- (262) 200-1205
- NPI assigned
- Jun 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 12778-146 | WI | |
| Massage Therapist | 225700000X | 12778 | WI | Primary |
Addresses
Primary practice location
N64W24050 Main St Ste 306B
Sussex, WI 53089-3000
Mailing address
N64W24050 Main St Ste 306B
Sussex, WI 53089-3000
Phone (262) 200-1205
Other practice location 1
17040 W Greenfield Ave Ste 6
Brookfield, WI 53005-6844
Phone (262) 439-8019
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 |
|---|---|---|---|
| 12778 | WI | MD | Massage Therapist |
| 12778-146 | WI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Wellness LLC | Massage Therapist | Current | Accepting new patients |
Locations
N64W24050 Main St
Ste 306B
Sussex, WI 53089
Phone (262) 200-1205
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.
-
- Massage Therapist
- Sussex, WI
- NPI 1578370144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1568194702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N64W24050 MAIN ST STE 306B",
"city": "SUSSEX",
"state": "WI",
"postal_code": "530893000",
"telephone_number": "262-200-1205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N64W24050 MAIN ST STE 306B",
"city": "SUSSEX",
"state": "WI",
"postal_code": "530893000",
"telephone_number": "262-200-1205"
}
],
"practiceLocations": [
{
"address_1": "17040 W Greenfield Ave Ste 6",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "WI",
"postal_code": "530056844",
"country_code": "US",
"telephone_number": "262-439-8019",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAFFELDT",
"first_name": "AMELIA",
"middle_name": "LOUISE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-27",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "12778-146",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "12778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sussex, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.