Deborah Wilson, PTA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

3343 Issued in NE

Practice address

4951 Center St
Omaha, NE 68106-3251

Phone

(402) 915-3201

Fax

(402) 315-9994

NPI assigned

Jun 23, 2014

Sex

Female

Sole proprietor

Yes

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14075/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1063827699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 S 29TH ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231402",
            "telephone_number": "402-915-3201",
            "fax_number": "402-315-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 CENTER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063251",
            "telephone_number": "402-915-3201",
            "fax_number": "402-315-9994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Oregon St",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "KS",
            "postal_code": "664342232",
            "country_code": "US",
            "telephone_number": "785-742-7606",
            "fax_number": "785-742-4490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DEBORAH",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "1050",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NE",
            "license": "3343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton Wilson
• Corriane Wilson
• Cristin C Wilson, DDS
• Crystal Wilson
• Dawn R Wilson, PHARM.D.
• Deborah J Wilson, SLP
• Denis Wilson Jr.
• Deona Wilson
• Desiree Wilson
• Elizabeth Wilson, REGISTERED NURSE SCH

• Massage Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Massage Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.