Active NPI
Yvonne Wilcox L.M.T.
- Massage Therapist
- Beckley, WV
National Provider Identifier
1386171916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1999-0234
- Legal business name
- YVONNE WILCOX L.M.T.
- Doing business as
- Yvonne Wilcox L.M.T.
- Practice address
- 129 Main St Ste 203
Beckley, WV 25801-4615 - Phone
- (304) 575-5296
- NPI assigned
- May 14, 2017
- 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
- Elizabeth Yvonne Wilcox, LMT
- Title
- Owner/
- Phone
- (304) 575-5296
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 1999-0234 | WV | Primary |
Addresses
Primary practice location
129 Main St Ste 203
Beckley, WV 25801-4615
Mailing address
144 Hotchkiss Rd
Slab Fork, WV 25920-9505
Phone (304) 575-5296
Other practice location 1
144 Hotchkiss Rd
Slab Fork, WV 25920-9505
Phone (304) 575-5296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275817488 | Other | WV | GROUP |
Other names 1
- Yvonne Wilcox L.M.T.
National Provider Directory
National Provider DirectoryLocations
129 Main St
Ste 203
Beckley, WV 25801
Phone (304) 575-5296
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Beckley, WV
- NPI 1275817488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1386171916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 HOTCHKISS RD",
"city": "SLAB FORK",
"state": "WV",
"postal_code": "259209505",
"telephone_number": "304-575-5296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 MAIN ST STE 203",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258014615",
"telephone_number": "304-575-5296"
}
],
"practiceLocations": [
{
"address_1": "144 Hotchkiss Rd",
"address_purpose": "LOCATION",
"city": "Slab Fork",
"state": "WV",
"postal_code": "259209505",
"country_code": "US",
"telephone_number": "304-575-5296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "YVONNE WILCOX L.M.T.",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-14",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "WILCOX",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "YVONNE",
"authorized_official_title_or_position": "OWNER/",
"authorized_official_telephone_number": "304-575-5296",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WV",
"license": "1999-0234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP",
"identifier": "1275817488",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Yvonne Wilcox L.M.T.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.