Autumn Gransberry, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

11942-146 Issued in WI

Practice address

15720 W National Ave
New Berlin, WI 53151-5119

Phone

(262) 785-5515

NPI assigned

Feb 2, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eliesha R Evans DC SC

  • Chiropractor
  • New Berlin, WI
  • NPI 1154631349
  NPD (past)
• Stafford Chiropractic

  • Chiropractor
  • New Berlin, WI
  • NPI 1871620310
  NPD (past)

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

{
    "created_epoch": "1359763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359763200000",
    "number": "1770822355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 N 98TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221421",
            "telephone_number": "414-336-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515119",
            "telephone_number": "262-785-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANSBERRY",
        "first_name": "AUTUMN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-02",
        "last_updated": "2013-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "11942-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Maria Gomez, APNP
• Joshua Gonzaga
• Mallory Gonzalez Valentin, M.S., CF-SLP
• Karen E. Gonzalez, RD
• Nicole M Gosser, CCC, SLP
• Laura Diane Gray, M.D.
• Great Lakes Radiologists SC
• Sarah P Greil, MS, LPC, CSAC
• Jane Marie Gresser, PA-C
• Carol Grgic, PT

• Massage Therapist in New Berlin, WI
• Providers in New Berlin, 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 2, 2013; 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.