Individual provider Active NPI

Christine Gerling-LMT, LMT

  • Massage Therapist
  • Twin Lakes, WI
National Provider Identifier
1720647803
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
13965-146 Issued in WI
Practice address
606 Country LN
Twin Lakes, WI 53181-9502
Phone
(262) 684-9466
Fax
(262) 279-2214
NPI assigned
Jun 11, 2019
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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 13965-146 WI Primary

Addresses

Primary practice location

606 Country LN
Twin Lakes, WI 53181-9502

Mailing address

PO Box 878
Twin Lakes, WI 53181-0878
Phone (262) 684-9466

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Massagebook.com Direct

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
13965-146WIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CCM Massage Therapy,LLC Massage Therapist CurrentSince Jul 1, 2020 Accepting new patients

Locations

606 Country Ln
Twin Lakes, WI 53181
Phone (262) 684-9466

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1720647803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "TWIN LAKES",
            "state": "WI",
            "postal_code": "531810878",
            "telephone_number": "262-684-9466",
            "fax_number": "262-279-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 COUNTRY LN",
            "city": "TWIN LAKES",
            "state": "WI",
            "postal_code": "531819502",
            "telephone_number": "262-684-9466",
            "fax_number": "262-279-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERLING-LMT",
        "first_name": "CHRISTINE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "13965-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Massagebook.com",
            "affiliation": "N",
            "endpointDescription": "online soaps notes",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "606 Country Ln",
            "city": "Twin Lakes",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531819502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Twin Lakes, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.