Individual provider Active NPI

Trista Faith Wasil, LMT

  • Massage Therapist
  • Prescott, AZ
National Provider Identifier
1114806643
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
202175 Issued in AZ
Practice address
147 N Cortez St Unit 111
Prescott, AZ 86301-3015
Phone
(928) 778-9446
NPI assigned
Aug 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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 202175 AZ Primary

Addresses

Primary practice location

147 N Cortez St Unit 111
Prescott, AZ 86301-3015

Mailing address

7501 E Paseo Escondido
Prescott Valley, AZ 86314-5162
Phone (928) 899-7939

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
202175AZMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1114806643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 E PASEO ESCONDIDO",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863145162",
            "telephone_number": "928-899-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 N CORTEZ ST UNIT 111",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013015",
            "telephone_number": "928-778-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASIL",
        "first_name": "TRISTA",
        "middle_name": "FAITH",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "202175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.