NPIMap

Organization Active NPI

Wings Mobile Massage & Bodywork

  • Massage Therapist
  • Randolph, MA
National Provider Identifier
1285966341
Registry record updated Jan 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
6947 Issued in MA
Legal business name
WINGS MOBILE MASSAGE & BODYWORK
Practice address
1191 N Main St
Suite 208
Randolph, MA 02368-2135
Phone
(508) 332-6522
Fax
(339) 987-4847
NPI assigned
Jan 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2010

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

Authorized official

Name
Ms. Tonya L Brooks-Taylor, LMT
Title
Owner
Phone
(508) 332-6522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 6947 MA Primary

Addresses

Primary practice location

1191 N Main St
Suite 208
Randolph, MA 02368-2135

Mailing address

1191 N Main St
Suite 208
Randolph, MA 02368-2135
Phone (508) 332-6522

Other names 1

  • Wings Massage & Bodywork Other name

National Provider Directory

National Provider Directory

Locations

1191 N Main St
Ste 208
Randolph, MA 02368
Phone (508) 332-6522

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264896000000",
    "number": "1285966341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 N MAIN ST",
            "address_2": "SUITE 208",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682135",
            "telephone_number": "508-332-6522",
            "fax_number": "339-987-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 N MAIN ST",
            "address_2": "SUITE 208",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682135",
            "telephone_number": "508-332-6522",
            "fax_number": "339-987-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS MOBILE MASSAGE & BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-31",
        "last_updated": "2010-01-31",
        "status": "A",
        "authorized_official_last_name": "BROOKS-TAYLOR",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-332-6522",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "6947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wings Massage & Bodywork",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2010; 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.