Active NPI
Alexis Wylie, CMT
- Massage Therapist
- Guerneville, CA
National Provider Identifier
1376409920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 101126
- Practice address
- 11811 Ridge Dr
Guerneville, CA 95446-9724 - Phone
- (678) 633-7455
- NPI assigned
- Dec 29, 2025
- Last updated
- Dec 29, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 101126 | CA | Primary |
Addresses
Primary practice location
11811 Ridge Dr
Guerneville, CA 95446-9724
Mailing address
11811 Ridge Dr
Guerneville, CA 95446-9724
Phone (678) 633-7455
Other names 1
- Lexi Wylie
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 |
|---|---|---|---|
| 101126 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1376409920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11811 RIDGE DR",
"city": "GUERNEVILLE",
"state": "CA",
"postal_code": "954469724",
"telephone_number": "678-633-7455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11811 RIDGE DR",
"city": "GUERNEVILLE",
"state": "CA",
"postal_code": "954469724",
"telephone_number": "678-633-7455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYLIE",
"first_name": "ALEXIS",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-29",
"last_updated": "2025-12-29",
"certification_date": "2025-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "101126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEXI",
"last_name": "WYLIE",
"credential": "CMT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Guerneville, CA
- West County Health Centers, Inc. (Russian River Health Center Bldg #2 Annex)
- West County Health Centers, Inc. (Russian River Health Center)
- West County Health Centers, Inc. (Russian River Health Center Building #2)
- West County Health Centers, Inc. (Russian River Resiliency Center)
- Woodland Nature Therapy Licensed Clinical Social Worker, Inc. (Woodland Nature Therapy)
- Mary Wyman, FNP
- Zoe Barnow, PSYD, a Psychological Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.