Individual provider Active NPI

Lilia Wilcox

  • Massage Therapist
  • Everett, WA
National Provider Identifier
1275244691
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61215782 Issued in WA
Practice address
12811 8TH Ave W Ste B103
Everett, WA 98204-6369
Phone
(425) 322-6511
NPI assigned
Dec 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA61215782 WA Primary

Addresses

Primary practice location

12811 8TH Ave W Ste B103
Everett, WA 98204-6369

Mailing address

12811 8TH Ave W Ste B103
Everett, WA 98204-6369
Phone (425) 322-6511

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

LicenseStateTypeSpecialty
MA61215782WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Li Greatprofy Massage,LLC Massage Therapist CurrentSince Mar 1, 2023 Accepting new patients

Locations

12811 8th Ave W
Ste B103
Everett, WA 98204
Phone (425) 513-6959

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1275244691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12811 8TH AVE W STE B103",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982046369",
            "telephone_number": "425-322-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12811 8TH AVE W STE B103",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982046369",
            "telephone_number": "425-322-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "LILIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61215782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.