Sabrina Roll, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

13975-146 Issued in WI

Practice address

4000 Enterprise Dr
Sheboygan, WI 53083-2245

Phone

(920) 459-9090

Fax

(920) 459-7426

NPI assigned

Feb 6, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Creekside Chiropractic and Rehabilitation, LTD.

  • Chiropractor
  • Sheboygan, WI
  • NPI 1801076872
  NPD

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1700582285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 ENTERPRISE DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530832245",
            "telephone_number": "920-459-9090",
            "fax_number": "920-459-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 ENTERPRISE DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530832245",
            "telephone_number": "920-459-9090",
            "fax_number": "920-459-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLL",
        "first_name": "SABRINA",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "13975-146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "13975-146",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAXID",
            "identifier": "39-1746106",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Roenitz, RPH
• Grant Michael Roethel
• Mary Lou Roethel, MSN,NP-C,APNP
• Avery L Rognerud, LPC
• Morgan Rohde, SAC-IT
• Alexis Lee Romanini, RN
• Stacey Lynn Rooker, DPT
• Valerie Root
• Nicole J Rosalez, MOT,OT
• Ryan A Rosenberger, M.D.

• Massage Therapist in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Massage Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.