Active NPI
Latisha Alexandria Renee Washington
- Massage Therapist
- Fayetteville, NC
National Provider Identifier
1255120986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 20583
- Practice address
- 150 Francam Dr Ste 124
Fayetteville, NC 28311-4500 - Phone
- (910) 229-3924
- NPI assigned
- Apr 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 20583 | NC | Primary |
Addresses
Primary practice location
150 Francam Dr Ste 124
Fayetteville, NC 28311-4500
Mailing address
9581 Mountain Home Dr
Fayetteville, NC 28314-5762
Phone (910) 261-1376
Other practice location 1
6791 Overhills Rd
Spring Lake, NC 28390-8873
Phone (910) 704-2220
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 |
|---|---|---|---|
| 20583 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Coastal Plain - PT, LLC | Current | Accepting new patients | |
| Hesed Bodywork LLC | Single Specialty | Past | Accepting new patients |
Locations
150 Francam Dr
Ste 124
Fayetteville, NC 28311
Phone (910) 229-3924
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 and National Provider Directory roles.
-
dba Fyzical Therapy & Balance Centers
- Occupational Therapist
- Fayetteville, NC
- NPI 1740069533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1255120986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9581 MOUNTAIN HOME DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283145762",
"telephone_number": "910-261-1376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 FRANCAM DR STE 124",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283114500",
"telephone_number": "910-229-3924"
}
],
"practiceLocations": [
{
"address_1": "6791 Overhills Rd",
"address_purpose": "LOCATION",
"city": "Spring Lake",
"state": "NC",
"postal_code": "283908873",
"country_code": "US",
"telephone_number": "910-704-2220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WASHINGTON",
"first_name": "LATISHA",
"middle_name": "ALEXANDRIA RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-30",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NC",
"license": "20583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.