Individual provider Active NPI

Wesley William Molsberry, LMT

  • Massage Therapist
  • Grants Pass, OR
National Provider Identifier
1023656659
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
25247 Issued in OR
Practice address
115 NW E St
Grants Pass, OR 97526-2009
Phone
(541) 761-4836
Fax
(541) 203-6085
NPI assigned
Dec 13, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT132794 TX
Massage Therapist 225700000X 25247 OR Primary

Addresses

Primary practice location

115 NW E St
Grants Pass, OR 97526-2009

Mailing address

9081 Lower River Rd
Grants Pass, OR 97526-9064
Phone (541) 955-4327

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
25247ORMDMassage Therapist
MT132794TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1023656659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9081 LOWER RIVER RD",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975269064",
            "telephone_number": "541-955-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NW E ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262009",
            "telephone_number": "541-761-4836",
            "fax_number": "541-203-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLSBERRY",
        "first_name": "WESLEY",
        "middle_name": "WILLIAM",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-13",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT132794",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "25247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.