Thomas Walton

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

109356 Issued in AK

Practice address

505 Illinois St Ste 4
Fairbanks, AK 99701-2946

Phone

(907) 451-7000

NPI assigned

Jun 22, 2016

Last updated

Jun 22, 2016By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Life Sprout Chiropractic LLC

  • Chiropractor
  • Fairbanks, AK
  • NPI 1124469341
  NPD (past)

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1114378031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 ILLINOIS ST STE 4",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997012946",
            "telephone_number": "907-451-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 ILLINOIS ST STE 4",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997012946",
            "telephone_number": "907-451-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "109356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc. (Walmart Pharmacy 10-2722)
• Faith M Walsh, RNC
• John T Walters, PA-C
• Laurie J Walton, LMT
• Nevada Rae Walton, LCSW
• Bonnie Wanner Owen
• Andrew James Wappett, D.M.D.
• Graham Nigel Wappett
• Kerry Phillip Wappett, M.D.
• Nigel George Wappett, M.D.

• Massage Therapist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.