Active NPI
Stephanie Montes, LMT
- Massage Therapist
- Milwaukee, WI
National Provider Identifier
1861676082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4152-46
- Practice address
- 5703 W Burnham St
Milwaukee, WI 53219-1522 - Phone
- (414) 651-3171
- NPI assigned
- Dec 24, 2007
- Last updated
- Apr 27, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | NU | ||
| Massage Therapist | 225700000X | 4152-46 | WI | Primary |
Addresses
Primary practice location
5703 W Burnham St
Milwaukee, WI 53219-1522
Mailing address
2792 S Seymour PL
West Allis, WI 53227-2934
Phone (414) 651-3171
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 |
|---|---|---|---|
| 4152-46 | WI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aesmedica LLC | Massage Therapist | Current | Accepting new patients |
Locations
5703 W Burnham St
Milwaukee, WI 53219
Phone (414) 651-3171
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1861676082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2792 S SEYMOUR PL",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532272934",
"telephone_number": "414-651-3171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5703 W BURNHAM ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532191522",
"telephone_number": "414-651-3171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTES",
"first_name": "STEPHANIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-24",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "4152-46",
"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 Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.