Active NPI
Mikayla Wood, MA61329598
- Massage Therapist
- Ephrata, WA
National Provider Identifier
1194457689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61329598
- Practice address
- 1519 Basin St SW
Ephrata, WA 98823-2135 - Phone
- (509) 754-2461
- Fax
- (509) 754-2462
- NPI assigned
- Jun 24, 2022
- Last updated
- Jun 27, 2022
- 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 | MA61329598 | WA | Primary |
Addresses
Primary practice location
1519 Basin St SW
Ephrata, WA 98823-2135
Mailing address
1519 Basin St SW
Ephrata, WA 98823-2135
Phone (509) 754-2461
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mikaylawood.lmt@gmail.com | ||
| CONNECT URL | https://devine-chiropractic.com/ | Dr. Tashauna Devine PLLC |
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 |
|---|---|---|---|
| MA61329598 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Tashauna Devine PLLC | Current | Accepting new patients | |
| William B Davis Inc PS | Current | Accepting new patients |
Locations
1519 Basin St SW
Ephrata, WA 98823
Phone (509) 431-3553
Organizations & group practices 2
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.
-
dba Davis Chiropractic and Wellness Clinic
- Chiropractor
- Ephrata, WA
- NPI 1427616689
-
dba Davis Chiropractic Clinic
- Multi-Specialty Clinic/Center
- Ephrata, WA
- NPI 1710264460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1194457689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 BASIN ST SW",
"city": "EPHRATA",
"state": "WA",
"postal_code": "988232135",
"telephone_number": "509-754-2461",
"fax_number": "509-754-2462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 BASIN ST SW",
"city": "EPHRATA",
"state": "WA",
"postal_code": "988232135",
"telephone_number": "509-754-2461",
"fax_number": "509-754-2462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "MIKAYLA",
"credential": "MA61329598",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-24",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61329598",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mikaylawood.lmt@gmail.com",
"affiliation": "N",
"address_1": "150 E St SW",
"city": "Ephrata",
"state": "WA",
"country_code": "US",
"postal_code": "988231827",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://devine-chiropractic.com/",
"affiliation": "Y",
"affiliationName": "Dr. Tashauna Devine PLLC",
"address_1": "1519 Basin St SW",
"city": "Ephrata",
"state": "WA",
"country_code": "US",
"postal_code": "988232135",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ephrata, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.