Organization Active NPI

Yvonne Wilcox L.M.T.

  • Massage Therapist
  • Beckley, WV
National Provider Identifier
1386171916
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
1999-0234 Issued in WV
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

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Elizabeth Yvonne Wilcox, LMTNPI 1275817488
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)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1275817488OtherWVGROUP

Other names 1

  • Yvonne Wilcox L.M.T. Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.