Sarah Peterson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

12786-146 Issued in WI

Practice address

36321 Main St
Whitehall, WI 54773-9186

Phone

(715) 538-2333

Fax

(715) 538-2429

NPI assigned

Oct 7, 2020

Last updated

Oct 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pank Chiropractic, Inc.

  • Chiropractor
  • Whitehall, WI
  • NPI 1942446125

  Single Specialty

  NPD

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1962009480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "547730486",
            "telephone_number": "715-538-2333",
            "fax_number": "715-538-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36321 MAIN ST",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "547739186",
            "telephone_number": "715-538-2333",
            "fax_number": "715-538-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SARAH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "12786-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel May Olson, OTA
• Tracey Lynn Olson, LMT
• Pank Chiropractic, Inc.
• Sara Ann Pank, DC
• Tayla J Perotti
• Pharmacare LTD (Colby Pharmacy)
• Andrea Murray Polnaszek, LCSW
• Rebecca Poulos
• Kelly Jean Pronschinske, PT
• Michelle K Raabe

• Massage Therapist in Whitehall, WI
• Providers in Whitehall, WI by specialty
• Massage Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.