Willy Ray Fleming Jr., CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

74497 Issued in CA

Practice address

1801 Hanover Dr Ste D
Davis, CA 95616-1067

Phone

(530) 400-6533

NPI assigned

Sep 14, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1396522033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 QUINCY CT",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876733",
            "telephone_number": "904-254-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 HANOVER DR STE D",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161067",
            "telephone_number": "530-400-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "WILLY",
        "middle_name": "RAY",
        "name_suffix": "Jr.",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "74497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Alexandra Fink, LCSW
• Perie Finley
• First 5 Yolo
• Shelbi Elizabeth Fisher, PHD
• Sean Fitzgerald
• Kurt Fleschner, DPM
• Brenda Flores Gonzalez, AMFT
• Kassity Maritza Flores
• Sarah Flores
• Claudia Flushman, M.A.

• Massage Therapist in Davis, CA
• Providers in Davis, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.