Elise S Walton, CMT, CLT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019006593 Issued in VA

Practice address

522 S Independence Blvd Ste 202a
Virginia Beach, VA 23452-1163

Phone

(757) 412-7527

Fax

(757) 471-9330

NPI assigned

Jul 21, 2011

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

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1235417403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 HEATHGLEN CIR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234566395",
            "telephone_number": "757-412-7527",
            "fax_number": "757-471-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 S INDEPENDENCE BLVD STE 202A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521163",
            "telephone_number": "757-412-7527",
            "fax_number": "757-471-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "ELISE",
        "middle_name": "S",
        "credential": "CMT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019006593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Walter
• James Earl Walters III, FNP-C
• Victoria Ann Walters
• Wendy Walters
• William P. Walters, L.P.C., L.M.F.T
• Jessica Walton, PTA
• Crista Dawn Walzak
• Wampler Counseling and Consulting LLC
• Frederick Alton Wampler, LPC
• Sarah Kathleen Wampler, LPC

• Massage Therapist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.