Individual provider Active NPI

Helene Gabrielle Olejniczak-Laden

  • Massage Therapist
  • Madison, WI
National Provider Identifier
1609147875
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
1335-146 Issued in WI
Practice address
675 W Washington Ave
Capitol Clinic
Madison, WI 53703-2637
Phone
(608) 662-5090
Fax
(608) 662-5091
NPI assigned
Jan 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 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 1335-146 WI Primary

Addresses

Primary practice location

675 W Washington Ave
Capitol Clinic
Madison, WI 53703-2637

Mailing address

1244 Rutledge St
Madison, WI 53703-3827
Phone (608) 257-7212

Other names 1

  • Gabrielle O. Laden Professional name

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
1335-146WIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1609147875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 RUTLEDGE ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033827",
            "telephone_number": "608-257-7212",
            "fax_number": "608-257-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W WASHINGTON AVE",
            "address_2": "CAPITOL CLINIC",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032637",
            "telephone_number": "608-662-5090",
            "fax_number": "608-662-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEJNICZAK-LADEN",
        "first_name": "HELENE",
        "middle_name": "GABRIELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "1335-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELLE",
            "last_name": "LADEN",
            "middle_name": "O.",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.