Organization Active NPI

Aubrey Wilson Massage Therapist P.C.

  • Massage Therapist
  • Islandia, NY
National Provider Identifier
1306480405
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
AUBREY WILSON MASSAGE THERAPIST P.C.
Practice address
1717 Veterans Hwy
Islandia, NY 11749-1532
Phone
(631) 203-4300
NPI assigned
Oct 31, 2019
Last updated
Oct 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

Name
Aubrey Wilson, LMT
Title
Owner
Phone
(516) 297-7811

Specialties & licenses 1

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

Addresses

Primary practice location

1717 Veterans Hwy
Islandia, NY 11749-1532

Mailing address

126 Inlet Dr
Lindenhurst, NY 11757-6810
Phone (516) 297-7811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1306480405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 INLET DR",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117576810",
            "telephone_number": "516-297-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 VETERANS HWY",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491532",
            "telephone_number": "631-203-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBREY WILSON MASSAGE THERAPIST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-297-7811",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islandia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.