Active NPI
James William Wilson, LMT
- Massage Therapist
- Weeki Wachee, FL
National Provider Identifier
1205268000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA93864
- Practice address
- 8219 River Country Dr
Weeki Wachee, FL 34607-2137 - Phone
- (352) 247-2094
- NPI assigned
- Aug 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 27 025797 | NY | |
| Massage Therapist | 225700000X | MA93864 | FL | Primary |
Addresses
Primary practice location
8219 River Country Dr
Weeki Wachee, FL 34607-2137
Mailing address
8219 River Country Dr
Weeki Wachee, FL 34607-2137
Phone (352) 247-2094
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 |
|---|---|---|---|
| MA93864 | FL | MD | Massage Therapist |
| 27 025797 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1205268000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8219 RIVER COUNTRY DR",
"city": "WEEKI WACHEE",
"state": "FL",
"postal_code": "346072137",
"telephone_number": "352-247-2094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8219 RIVER COUNTRY DR",
"city": "WEEKI WACHEE",
"state": "FL",
"postal_code": "346072137",
"telephone_number": "352-247-2094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JAMES",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-02",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "27 025797",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA93864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weeki Wachee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.