Active NPI
Sarah Marie Fenelon, MT
- Massage Therapist
- Milwaukee, WI
National Provider Identifier
1851958615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2143-146
- Practice address
- 106 W Seeboth St Ste 101
Milwaukee, WI 53204-4329 - Phone
- (414) 378-5379
- Fax
- (844) 295-4043
- NPI assigned
- May 28, 2019
- Last updated
- May 28, 2019
- 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 | 2143-146 | WI | Primary |
Addresses
Primary practice location
106 W Seeboth St Ste 101
Milwaukee, WI 53204-4329
Mailing address
106 W Seeboth St Ste 101
Milwaukee, WI 53204-4329
Phone (414) 378-5379
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 |
|---|---|---|---|
| 2143-146 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1851958615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 W SEEBOTH ST STE 101",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532044329",
"telephone_number": "414-378-5379",
"fax_number": "844-295-4043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 W SEEBOTH ST STE 101",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532044329",
"telephone_number": "414-378-5379",
"fax_number": "844-295-4043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENELON",
"first_name": "SARAH",
"middle_name": "MARIE",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "2143-146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.