Individual provider Active NPI

William L Lewis

  • Massage Therapist
  • Woodbridge, VA
National Provider Identifier
1326804345
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019016559 Issued in VA
Practice address
2701 Neabsco Common PL Ste 118
Woodbridge, VA 22191-4189
Phone
(703) 343-7200
NPI assigned
Feb 27, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0019016559 VA Primary

Addresses

Primary practice location

2701 Neabsco Common PL Ste 118
Woodbridge, VA 22191-4189

Mailing address

2012 Fort Pemberton CT
Dumfries, VA 22026-2570
Phone (703) 517-2546

Other practice location 1

6432 General Green Way
Alexandria, VA 22312-2413
Phone (703) 436-9107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0019016559VAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1326804345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 FORT PEMBERTON CT",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262570",
            "telephone_number": "703-517-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 NEABSCO COMMON PL STE 118",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914189",
            "telephone_number": "703-343-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6432 General Green Way",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223122413",
            "country_code": "US",
            "telephone_number": "703-436-9107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019016559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.