Pamela Lynn Wilson, OTRL LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

517 Issued in NM

Practice address

8712 Vineyard Ridge Rd NE
Albuquerque, NM 87122-2624

Phone

(505) 255-1000

Fax

(505) 255-1000

NPI assigned

Apr 3, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Pamela L Waller Other name

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1245351519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90605",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871990605",
            "telephone_number": "505-255-1000",
            "fax_number": "505-255-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 VINEYARD RIDGE RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222624",
            "telephone_number": "505-255-1000",
            "fax_number": "505-255-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "PAMELA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "OTRL LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "517",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "1787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "WALLER",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "OTRL LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Natalie Wilson
• Nathan Wilson
• Nina Wilson, LPC
• Noelle K Wilson, MSW
• Odell Wilson, M.D.
• Rhiannon Louise Wilson, LCSW
• Robert H Wilson, M.D.
• Robert Max Wilson, MA
• Ryan Hastiin Wilson, DDS
• Sean M Wilson, PA

• Massage Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Massage Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.