Active NPI
Rachel Eve Stoltenberg
- Massage Therapist
- Kodiak, AK
National Provider Identifier
1659831519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 112401
- Practice address
- 326 Center Ave Ste 100
Kodiak, AK 99615-7302 - Phone
- (907) 486-4042
- NPI assigned
- Mar 25, 2019
- 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 | 112401 | AK | Primary |
Addresses
Primary practice location
326 Center Ave Ste 100
Kodiak, AK 99615-7302
Mailing address
1128 Mission Rd
Kodiak, AK 99615-6540
Phone (907) 654-9160
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 |
|---|---|---|---|
| 112401 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arctic Chiropractic and Physical Medicine Kodiak | Single Specialty | 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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Kodiak, AK
- NPI 1558899807
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1659831519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 MISSION RD",
"city": "KODIAK",
"state": "AK",
"postal_code": "996156540",
"telephone_number": "907-654-9160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 CENTER AVE STE 100",
"city": "KODIAK",
"state": "AK",
"postal_code": "996157302",
"telephone_number": "907-486-4042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLTENBERG",
"first_name": "RACHEL",
"middle_name": "EVE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-25",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "AK",
"license": "112401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kodiak, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.