Active NPI
William L Lewis
- Massage Therapist
- Woodbridge, VA
National Provider Identifier
1326804345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0019016559
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0019016559 | VA | MD | Massage 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.