Active NPI
Aubrey Wilson Massage Therapist P.C.
- Massage Therapist
- Islandia, NY
National Provider Identifier
1306480405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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 DirectoryNPI 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.