Individual provider Active NPI

Elizabeth Yvonne Wilcox, L.M.T.

  • Massage Therapist
  • Beckley, WV
National Provider Identifier
1275817488
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
1999-0234 Issued in WV
Practice address
129 Main St
Suite 608 United Bank Complex
Beckley, WV 25801-4615
Phone
(304) 575-5296
Fax
(304) 774-0188
NPI assigned
Oct 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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 1999-0234 WV Primary

Addresses

Primary practice location

129 Main St
Suite 608 United Bank Complex
Beckley, WV 25801-4615

Mailing address

144 Hotchkiss Rd
Slab Fork, WV 25920-9505
Phone (304) 774-0076

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
1999-0234WVMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yvonne Wilcox L.M.T. Massage Therapist Current Accepting new patients

Locations

129 Main St
Ste 203
Beckley, WV 25801
Phone (304) 575-5296

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": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1275817488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 HOTCHKISS RD",
            "city": "SLAB FORK",
            "state": "WV",
            "postal_code": "259209505",
            "telephone_number": "304-774-0076",
            "fax_number": "304-774-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 MAIN ST",
            "address_2": "SUITE 608 UNITED BANK COMPLEX",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014615",
            "telephone_number": "304-575-5296",
            "fax_number": "304-774-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "ELIZABETH",
        "middle_name": "YVONNE",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WV",
            "license": "1999-0234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.