Individual provider Active NPI

Destiney Watts

  • Massage Therapist
  • Fayetteville, NC
National Provider Identifier
1164302303
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
22518 Issued in NC
Practice address
4140 Ferncreek Dr Ste 702
Fayetteville, NC 28314-2569
Phone
(910) 514-6251
NPI assigned
Sep 8, 2025
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 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 22518 NC Primary

Addresses

Primary practice location

4140 Ferncreek Dr Ste 702
Fayetteville, NC 28314-2569

Mailing address

4140 Ferncreek Dr Ste 702
Fayetteville, NC 28314-2569
Phone (910) 514-6251

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
22518NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CurrentSince Sep 14, 2025 Accepting new patients

Locations

4140 Ferncreek Dr
Ste 702
Fayetteville, NC 28314
Phone (828) 269-6235

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1164302303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR STE 702",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142569",
            "telephone_number": "910-514-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR STE 702",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142569",
            "telephone_number": "910-514-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "DESTINEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "22518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.