Individual provider Active NPI

Matthew Weso, LMT

  • Massage Therapist
  • Green Bay, WI
National Provider Identifier
1952117442
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
17623-146 Issued in WI
Practice address
2830 Curry CT Ste 3
Green Bay, WI 54311-4877
Phone
(920) 395-4841
Fax
(920) 301-6442
NPI assigned
Dec 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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 17623-146 WI Primary

Addresses

Primary practice location

2830 Curry CT Ste 3
Green Bay, WI 54311-4877

Mailing address

2830 Curry CT Ste 3
Green Bay, WI 54311-4877
Phone (920) 395-4841

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

LicenseStateTypeSpecialty
17623-146WIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elbow Grease Massage Studio Inc Massage Therapist CurrentSince Dec 15, 2024 Accepting new patients

Locations

2830 Curry Ct
Ste 3
Green Bay, WI 54311
Phone (920) 395-4841

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1952117442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 CURRY CT STE 3",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114877",
            "telephone_number": "920-395-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 CURRY CT STE 3",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114877",
            "telephone_number": "920-395-4841",
            "fax_number": "920-301-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESO",
        "first_name": "MATTHEW",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "17623-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.