Individual provider Active NPI

Eloise Ribisl Stager, LMT

  • Massage Therapist
  • New Milford, CT
National Provider Identifier
1871775957
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
004802 Issued in CT
Practice address
4 Main Street
CT Center for Craniosacral Therapy
New Milford, CT 06776-1532
Phone
(860) 367-2926
NPI assigned
Nov 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 004802 CT Primary

Addresses

Primary practice location

4 Main Street
CT Center for Craniosacral Therapy
New Milford, CT 06776-1532

Mailing address

4 Main Street
CT Center for Craniosacral Therapy
New Milford, CT 06776
Phone (860) 367-2926

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

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1871775957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MAIN STREET",
            "address_2": "CT CENTER FOR CRANIOSACRAL THERAPY",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "06776",
            "telephone_number": "860-367-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MAIN STREET",
            "address_2": "CT CENTER FOR CRANIOSACRAL THERAPY",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067761532",
            "telephone_number": "860-367-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGER",
        "first_name": "ELOISE",
        "middle_name": "RIBISL",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CT",
            "license": "004802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.