Active NPI
Lakesha Williams
- Massage Therapist
- Rock Hill, SC
National Provider Identifier
1407411549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8308
- Practice address
- 1601 Ebenezer Rd
Rock Hill, SC 29732-1808 - Phone
- (980) 272-1248
- NPI assigned
- May 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 8308 | SC | Primary |
Addresses
Primary practice location
1601 Ebenezer Rd
Rock Hill, SC 29732-1808
Mailing address
2011 Dearborn Dr
Rock Hill, SC 29732-8255
Phone (980) 272-1248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225700000X | Other | SC | MASSAGE THERAPY |
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 |
|---|---|---|---|
| 8308 | SC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556841600000",
"number": "1407411549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 DEARBORN DR",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297328255",
"telephone_number": "980-272-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321808",
"telephone_number": "980-272-1248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LAKESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-03",
"last_updated": "2019-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "SC",
"license": "8308",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY",
"identifier": "225700000X",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.