Jonathan Wilson

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

24365 Eldridge Blvd
Bedford Heights, OH 44146-4009

Phone

(216) 258-9920

NPI assigned

Jul 21, 2021

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1194398669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24365 ELDRIDGE BLVD",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441464009",
            "telephone_number": "216-258-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24365 ELDRIDGE BLVD",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441464009",
            "telephone_number": "216-258-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-21",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyanna L White
• Tashayla White
• William & Annie Lue Residential Services LLC
• Linda Joann Williams
• Tayana Sharie Williams
• Ronald Roland Wilson Jr., LPN
• Yes, I C.a.R.E. LLC
• Marianne Astride Houndeman Zanclan

• Massage Therapist in Bedford Heights, OH
• Providers in Bedford Heights, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.