Individual provider Active NPI

Stephanie A Seliga, LMT, LAC.

  • Massage Therapist
  • McHenry, IL
National Provider Identifier
1952719155
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227.006393 Issued in IL
Practice address
5463 Bull Valley Rd
McHenry, IL 60050-7410
Phone
(815) 322-2122
NPI assigned
Jul 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.000933 IL
Massage Therapist 225700000X 227.006393 IL Primary

Addresses

Primary practice location

5463 Bull Valley Rd
McHenry, IL 60050-7410

Mailing address

PO Box 382
9017 Kemman Road
Hebron, IL 60034-0382
Phone (815) 790-0310

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
198.000933ILMDAcupuncturist
227.006393ILMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1952719155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382",
            "address_2": "9017 KEMMAN ROAD",
            "city": "HEBRON",
            "state": "IL",
            "postal_code": "600340382",
            "telephone_number": "815-790-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5463 BULL VALLEY RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507410",
            "telephone_number": "815-322-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIGA",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "LMT, LAC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000933",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.006393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.