Individual provider Active NPI

Judith Ann Ferber, MASSAGE THERAPIST

  • Massage Therapist
  • Altoona, WI
National Provider Identifier
1972821304
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2941-046 Issued in WI
Practice address
1419 Hayden Ave
Altoona, WI 54720-1612
Phone
(715) 835-0509
Fax
(715) 835-0509
NPI assigned
May 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2010

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 2941-046 WI Primary

Addresses

Primary practice location

1419 Hayden Ave
Altoona, WI 54720-1612

Mailing address

1419 Hayden Ave
Altoona, WI 54720-1612
Phone (715) 835-0509

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
2941-046WIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1972821304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 HAYDEN AVE",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547201612",
            "telephone_number": "715-835-0509",
            "fax_number": "715-835-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 HAYDEN AVE",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547201612",
            "telephone_number": "715-835-0509",
            "fax_number": "715-835-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERBER",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "2941-046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.