Active NPI
Colette Sill
- Massage Therapist
- La Crosse, WI
National Provider Identifier
1811535842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2863
- Practice address
- 402 6TH St S
La Crosse, WI 54601-4505 - Phone
- (608) 785-2225
- NPI assigned
- Dec 20, 2019
- Last updated
- Dec 20, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2863 | WI | Primary |
Addresses
Primary practice location
402 6TH St S
La Crosse, WI 54601-4505
Mailing address
402 6TH St S
La Crosse, WI 54601-4505
Phone (608) 785-2225
Other names 1
- Colette Rondestvedt
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 |
|---|---|---|---|
| 2863 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1811535842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 6TH ST S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014505",
"telephone_number": "608-785-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 6TH ST S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014505",
"telephone_number": "608-785-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILL",
"first_name": "COLETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "2863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COLETTE",
"last_name": "RONDESTVEDT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.