Active NPI
Leah Matte, M.T.
- Massage Therapist
- Hales Corners, WI
National Provider Identifier
1740688183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10832-146
- Practice address
- 10731 W Forest Home Ave
Hales Corners, WI 53130-2555 - Phone
- (920) 217-1249
- NPI assigned
- Dec 17, 2014
- 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 | 10832-146 | WI | Primary |
Addresses
Primary practice location
10731 W Forest Home Ave
Hales Corners, WI 53130-2555
Mailing address
10731 W Forest Home Ave
Hales Corners, WI 53130-2555
Phone (920) 217-1249
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10832-146 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418774400000",
"number": "1740688183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10731 W FOREST HOME AVE",
"city": "HALES CORNERS",
"state": "WI",
"postal_code": "531302555",
"telephone_number": "920-217-1249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10731 W FOREST HOME AVE",
"city": "HALES CORNERS",
"state": "WI",
"postal_code": "531302555",
"telephone_number": "920-217-1249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTE",
"first_name": "LEAH",
"credential": "M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-17",
"last_updated": "2014-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "10832-146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hales Corners, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.