Active NPI
Marietta Elisabeth Steiner
- Physical Therapy Assistant
- Spooner, WI
National Provider Identifier
1730385162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1404
- Practice address
- 1280 Chandler Dr
Spooner, WI 54801-2202 - Phone
- (715) 939-1745
- NPI assigned
- Jun 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1404 | WI | Primary |
| Massage Therapist | 225700000X | 2673-046 | WI |
Addresses
Primary practice location
1280 Chandler Dr
Spooner, WI 54801-2202
Mailing address
N8420 River Rd
Trego, WI 54888-9283
Phone (715) 635-2111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36144700 | Medicaid | WI |
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 |
|---|---|---|---|
| 2673-046 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1730385162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N8420 RIVER RD",
"city": "TREGO",
"state": "WI",
"postal_code": "548889283",
"telephone_number": "715-635-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 CHANDLER DR",
"city": "SPOONER",
"state": "WI",
"postal_code": "548012202",
"telephone_number": "715-939-1745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEINER",
"first_name": "MARIETTA",
"middle_name": "ELISABETH",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "1404",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "2673-046",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36144700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spooner, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.