April Lynn Wigley-Elliott, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

172582 Issued in OK

Practice address

119 N Broadway Ave Ste 10
Ada, OK 74820

Phone

(580) 235-8047

NPI assigned

Apr 5, 2013

Last updated

May 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1245573583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 TRINITY DR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748048965",
            "telephone_number": "580-235-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N BROADWAY AVE STE 10",
            "city": "ADA",
            "state": "OK",
            "postal_code": "74820",
            "telephone_number": "580-235-8047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4316 Trinity Dr",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "OK",
            "postal_code": "748048965",
            "country_code": "US",
            "telephone_number": "580-235-8047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 N Broadway Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "74820",
            "country_code": "US",
            "telephone_number": "580-235-8047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGLEY-ELLIOTT",
        "first_name": "APRIL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OK",
            "license": "172582",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT103888",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK STATE BOARD OF COSMETOLOGY",
            "identifier": "172582",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TEXAS",
            "identifier": "MT103888",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Ada, OK
• Providers in Ada, OK by specialty
• Massage Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.