NPIMap

Individual provider Active NPI

Wenshy Preval, LMT

  • Massage Therapist
  • Stamford, CT
National Provider Identifier
1366173122
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
10341 Issued in CT
Practice address
127 Greyrock PL Apt 704
Stamford, CT 06901-3107
Phone
(203) 252-9859
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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 10341 CT Primary

Addresses

Primary practice location

127 Greyrock PL Apt 704
Stamford, CT 06901-3107

Mailing address

127 Greyrock PL Apt 704
Stamford, CT 06901-3107
Phone (203) 252-9859

Other identifiers 1

IdentifierTypeStateIssuer
10341OtherCTCT MASSAGE THERAPIST

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL uncloggedwells@gmail.com

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10341CTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Therapeutics Studio Massage Therapist Current Accepting new patients
Unclogged Wells, LLC Massage Therapist CurrentSince Sep 20, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1366173122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 GREYROCK PL APT 704",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013107",
            "telephone_number": "203-252-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 GREYROCK PL APT 704",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013107",
            "telephone_number": "203-252-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVAL",
        "first_name": "WENSHY",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CT",
            "license": "10341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT MASSAGE THERAPIST",
            "identifier": "10341",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "uncloggedwells@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email address",
            "address_1": "127 Greyrock Pl Apt 704",
            "city": "Stamford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "069013107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.