Active NPI
David Wilkinson, LMT, CMT
- Mechanotherapist
- Albany, OR
National Provider Identifier
1144632787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 19883
- Practice address
- 317 1St Ave W
Suite 101
Albany, OR 97321-2225 - Phone
- (541) 905-4158
- NPI assigned
- Jun 2, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 19883 | OR | Primary |
| Mechanotherapist | 172M00000X | 9196 | CA |
Addresses
Primary practice location
317 1St Ave W
Suite 101
Albany, OR 97321-2225
Mailing address
1422 15TH Ave. S.E.
Apartment D
Albany, OR 97322
Phone (760) 567-9107
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 |
|---|---|---|---|
| 9196 | CA | MD | Mechanotherapist |
| 19883 | OR | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401667200000",
"number": "1144632787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 15TH AVE. S.E.",
"address_2": "APARTMENT D",
"city": "ALBANY",
"state": "OR",
"postal_code": "97322",
"telephone_number": "760-567-9107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 1ST AVE W",
"address_2": "SUITE 101",
"city": "ALBANY",
"state": "OR",
"postal_code": "973212225",
"telephone_number": "541-905-4158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "DAVID",
"credential": "LMT, CMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-02",
"last_updated": "2014-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OR",
"license": "19883",
"primary": true
},
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "CA",
"license": "9196",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, OR
- John R. Wiens, D.D.S.
- Dana B Wikner
- Shaun P Wilcox, LMT
- Tiffany Wilcox, RN
- Joslynn Wilder
- Willamette Orthotics & Prosthetics, LLC (Summit Orthotics & Prosthetics)
- Willamette Valley Home Care, Inc. (Visiting Angels of Willamette Valley)
- Willamette Valley Pediatrics
- Willamette Valley Spine and Strength LLC
- Willamette Valley Spine Solutions, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.