Active NPI
Stephanie Wilson, LMT
- Massage Therapist
- Trinidad, CO
National Provider Identifier
1184977266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0026780
- Practice address
- 1115 E Main St
Trinidad, CO 81082-2033 - Phone
- (304) 667-6812
- NPI assigned
- Oct 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0026780 | CO | Primary |
Addresses
Primary practice location
1115 E Main St
Trinidad, CO 81082-2033
Mailing address
44250 US Highway 160
Trinidad, CO 81082-9774
Phone (304) 667-6812
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 |
|---|---|---|---|
| 0026780 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1184977266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44250 US HIGHWAY 160",
"city": "TRINIDAD",
"state": "CO",
"postal_code": "810829774",
"telephone_number": "304-667-6812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 E MAIN ST",
"city": "TRINIDAD",
"state": "CO",
"postal_code": "810822033",
"telephone_number": "304-667-6812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "STEPHANIE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-26",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "0026780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trinidad, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.