Rachel Prairie Wiebeck, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT.0011709 Issued in CO

Practice address

361 2ND Ave Ste 204a
Niwot, CO 80544-5004

Phone

(720) 971-9591

NPI assigned

Dec 11, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639180800000",
    "number": "1841959426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 ALLEN DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805034061",
            "telephone_number": "720-971-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 2ND AVE STE 204A",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805445004",
            "telephone_number": "720-971-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBECK",
        "first_name": "RACHEL",
        "middle_name": "PRAIRIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-11",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0011709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "www.massagebook.com/SOAP",
            "affiliation": "N",
            "endpointDescription": "soap notes",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "361 2nd Ave Ste 204A",
            "city": "Niwot",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805445004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Massage Therapist in Niwot, CO
• Providers in Niwot, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2021; 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.