Robert Wilkins, LMT, COTA/L

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT60791072 Issued in WA

Practice address

1901 S 72ND St Ste a-1
Tacoma, WA 98408-1200

Phone

(253) 475-4870

Fax

(253) 475-4873

NPI assigned

May 6, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Olympic Sports and Spine Rehabilitation PS

  • Physical Therapist
  • Puyallup, WA
  • NPI 1558310375

  Massage Therapist

  NPD (past)
• Olympic Sports and Spine Rehabilitation, P.S.

  • Physical Therapist
  • Puyallup, WA
  • NPI 1144685306

  Massage Therapist

  NPD (past)

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1003293309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9315 GRAVELLY LAKE DR SW STE 306",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991581",
            "telephone_number": "253-581-5200",
            "fax_number": "253-581-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S 72ND ST STE A-1",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984081200",
            "telephone_number": "253-475-4870",
            "fax_number": "253-475-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "ROBERT",
        "credential": "LMT, COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60483333",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MT60791072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William W Wiles, LPN
• Cheyann Mae Wiley
• Angela N Wilhoit, NP
• Carol Wilkins
• Melissa Sue Wilkins
• Thomas N. Wilkins, A.R.N.P
• Benjamin Wilkinson, O.D.
• Jeremy James Wilks, M.A.
• Willamette Dental Group, P.C.
• Luke Willand, M.D.

• Massage Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.