Active NPI
Sage Reisbig
- Massage Therapist
- La Crosse, WI
National Provider Identifier
1912529892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13920
- Practice address
- 2837 Darling CT
La Crosse, WI 54601-2754 - Phone
- (608) 783-3040
- NPI assigned
- May 13, 2020
- Last updated
- May 13, 2020
- 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 | 13920 | WI | Primary |
Addresses
Primary practice location
2837 Darling CT
La Crosse, WI 54601-2754
Mailing address
2837 Darling CT
La Crosse, WI 54601-2754
Phone (608) 783-3040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13920 | Other | WI | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | WWW.MYLIFELACROSSE.COM |
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 |
|---|---|---|---|
| 13920 | WI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Rivers Chiropractic LLC | Past | Accepting new patients |
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": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1912529892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2837 DARLING CT",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546012754",
"telephone_number": "608-783-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2837 DARLING CT",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546012754",
"telephone_number": "608-783-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISBIG",
"first_name": "SAGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-13",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "13920",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "13920",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "WWW.MYLIFELACROSSE.COM",
"affiliation": "N",
"address_1": "2837 Darling Ct",
"city": "LA Crosse",
"state": "WI",
"country_code": "US",
"postal_code": "546012754",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.