Individual provider Active NPI

Lori A Riegleman

  • Massage Therapist
  • Oconomowoc, WI
National Provider Identifier
1609122399
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
3231146 Issued in WI
Practice address
1280 Brown St Ste F
Oconomowoc, WI 53066-2489
Phone
(262) 567-6700
NPI assigned
Jul 31, 2012
Last updated
Jul 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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 3231146 WI Primary

Addresses

Primary practice location

1280 Brown St Ste F
Oconomowoc, WI 53066-2489

Mailing address

N781 Oak Ridge Dr
Oconomowoc, WI 53066-9591
Phone (920) 442-4423

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
3231146WIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Krieser Family Chiropractic, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1609122399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N781 OAK RIDGE DR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530669591",
            "telephone_number": "920-442-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 BROWN ST STE F",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530662489",
            "telephone_number": "262-567-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEGLEMAN",
        "first_name": "LORI",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "3231146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconomowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.