Tracy Allison Wilton, L.M.P.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00007580 Issued in WA

Practice address

22236 7TH Ave S
Des Moines, WA 98198-6220

Phone

(206) 824-7200

Fax

(206) 824-7720

NPI assigned

May 16, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Benepro P.C.

  • Family Medicine Physician
  • Des Moines, WA
  • NPI 1487850590
  NPD (past)

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1194161125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22236 7TH AVE S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986220",
            "telephone_number": "206-824-7200",
            "fax_number": "206-824-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22236 7TH AVE S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986220",
            "telephone_number": "206-824-7200",
            "fax_number": "206-824-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTON",
        "first_name": "TRACY",
        "middle_name": "ALLISON",
        "name_prefix": "Miss",
        "credential": "L.M.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00007580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Lynne White, LMHC
• Rita L Whitman
• Jessica Whitsitt, RN
• Tonisha Williams
• Siao Wilson
• Elizabeth Wise
• Steven G Wittrock, PT
• Allison Woerpel
• Tenaye Woldesilasie, RN
• Albert Wong, DMD, MPH

• Massage Therapist in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.