Active NPI
Adam Charles Whitehead, LMT
- Massage Therapist
- Palmer, AK
National Provider Identifier
1134577786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227040
- Practice address
- 305 N Valley Way Apt B4
Palmer, AK 99645-6182 - Phone
- (678) 467-3259
- NPI assigned
- May 24, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 106407 | AK | |
| Massage Therapist | 225700000X | MT.0014003 | CO | |
| Massage Therapist | 225700000X | MT012734 | GA | |
| Massage Therapist | 225700000X | MT9338 | TN | |
| Massage Therapist | 225700000X | 227040 | AK | Primary |
Addresses
Primary practice location
305 N Valley Way Apt B4
Palmer, AK 99645-6182
Mailing address
305 N Valley Way Apt B4
Palmer, AK 99645-6182
Phone (678) 467-3259
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
| License | State | Type | Specialty |
|---|---|---|---|
| 106407 | AK | MD | Specialist |
| 227040 | AK | MD | Massage Therapist |
| MT.0014003 | CO | MD | Massage Therapist |
| MT012734 | GA | MD | Massage Therapist |
| MT9338 | TN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1134577786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 N VALLEY WAY APT B4",
"city": "PALMER",
"state": "AK",
"postal_code": "996456182",
"telephone_number": "678-467-3259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 N VALLEY WAY APT B4",
"city": "PALMER",
"state": "AK",
"postal_code": "996456182",
"telephone_number": "678-467-3259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITEHEAD",
"first_name": "ADAM",
"middle_name": "CHARLES",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-24",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AK",
"license": "106407",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0014003",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT012734",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TN",
"license": "MT9338",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "227040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.