Wilder and Wilder, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

893 Issued in NC

Legal business name

WILDER AND WILDER, LLC

Practice address

175 W New Hampshire Ave
Suite 10
Southern Pines, NC 28387-4826

Phone

(910) 695-1177

NPI assigned

Sep 27, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Hugh Wilder

Title

President

Phone

(910) 695-1177

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Body Energetics Doing business as

Locations

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

{
    "created_epoch": "1254009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254009600000",
    "number": "1275867004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W NEW HAMPSHIRE AVE",
            "address_2": "SUITE 10",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874826",
            "telephone_number": "910-695-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W NEW HAMPSHIRE AVE",
            "address_2": "SUITE 10",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874826",
            "telephone_number": "910-695-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDER AND WILDER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-27",
        "last_updated": "2009-09-27",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-695-1177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "671190671190",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Energetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Jason White, MD
• Tiffany Amanda White, DNP, RN, FNP-BC
• Kristina Whitener, RBT
• Elizabeth Sledge Whittle, MA, RNC
• Amanda Wiggins, PT,DPT
• Ashlene Williams, NCLMBT
• Cade Williams
• Jonathan Williams, PHARM.D.
• Meredith H Williams, COTA
• Rebecca Williams, MPT

• Massage Therapist in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2009; 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.