Active NPI
Elizabeth Yvonne Wilcox, L.M.T.
- Massage Therapist
- Beckley, WV
National Provider Identifier
1275817488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1999-0234
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1999-0234 | WV | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Massage Therapist
- Beckley, WV
- NPI 1386171916
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.