Lisa Alejandra Wilbur, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT005128 Issued in GA

Practice address

485 Huntington Rd
Suite194
Athens, GA 30606-1861

Phone

(706) 548-5922

Fax

(706) 549-9354

NPI assigned

Feb 7, 2012

Last updated

Feb 7, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Touch of Georgia Chiropractic Clinic

  • Chiropractor
  • Athens, GA
  • NPI 1689610529
  NPD (past)
• Suttles Family Chiropractic, LLC

  • Chiropractor
  • Elberton, GA
  • NPI 1942931845
  NPD (past)

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1285906222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 CALLS CREEK CIR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306772599",
            "telephone_number": "706-612-0309",
            "fax_number": "706-549-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 HUNTINGTON RD",
            "address_2": "SUITE194",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061861",
            "telephone_number": "706-548-5922",
            "fax_number": "706-549-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBUR",
        "first_name": "LISA",
        "middle_name": "ALEJANDRA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT005128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MT005128",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roy Glen Wiggans, M.D.
• Jessica Wiggs
• William Joseph Wikoff, NP
• Carlos Stanford Wilbanks Jr., DDS
• Marijane C. Wilbanks, MSW, MA, BA
• Michael Jacob Wilczek, DO
• Stephen William Wilde, M.D.
• Amanda Wilkins, CAA
• Kelly M Wilkins, AUD
• William a Chafin III MD PC

• Massage Therapist in Athens, GA
• Providers in Athens, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.