Active NPI
Alicia Stevens
- Massage Therapist
- Roscoe, IL
National Provider Identifier
1851792964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227.011727
- Practice address
- 11824 Main St
Roscoe, IL 61073-9561 - Phone
- (815) 623-6534
- NPI assigned
- Sep 8, 2014
- 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 | 227.011727 | IL | Primary |
Addresses
Primary practice location
11824 Main St
Roscoe, IL 61073-9561
Mailing address
1006 W Smith St
Freeport, IL 61032-3822
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 |
|---|---|---|---|
| 227.011727 | IL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Chiropractic Wellness, LLC | Past | Accepting new patients | |
| Advantage Chiropractic | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopedic Chiropractor
- Roscoe, IL
- NPI 1558570259
-
- Chiropractor
- Roscoe, IL
- NPI 1013304674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410134400000",
"number": "1851792964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 W SMITH ST",
"city": "FREEPORT",
"state": "IL",
"postal_code": "610323822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11824 MAIN ST",
"city": "ROSCOE",
"state": "IL",
"postal_code": "610739561",
"telephone_number": "815-623-6534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-08",
"last_updated": "2014-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227.011727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roscoe, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.