NPIMap

Organization Active NPI

Willow Moon Healing, LLC

  • Massage Therapist
  • Manassas, VA
National Provider Identifier
1427353457
Registry record updated Apr 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019008764 Issued in VA
Legal business name
WILLOW MOON HEALING, LLC
Practice address
9300 Forest Point Cir
Suite 162
Manassas, VA 20110-4765
Phone
(571) 606-0026
NPI assigned
Jan 23, 2011
Last updated
Apr 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2014

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

Authorized official

Name
Michelle Levesque, CMTNPI 1093134421
Title
President
Phone
(571) 606-0026

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 Therapist 225700000X 0019008764 VA Primary

Addresses

Primary practice location

9300 Forest Point Cir
Suite 162
Manassas, VA 20110-4765

Mailing address

1028 Harper Valley Rd
Luray, VA 22835-9416
Phone (571) 606-0026

National Provider Directory

National Provider Directory

Locations

9300 Forest Point Cir
Ste 162
Manassas, VA 20110
Phone (571) 606-0026

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397347200000",
    "number": "1427353457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 HARPER VALLEY RD",
            "city": "LURAY",
            "state": "VA",
            "postal_code": "228359416",
            "telephone_number": "571-606-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 FOREST POINT CIR",
            "address_2": "SUITE 162",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104765",
            "telephone_number": "571-606-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW MOON HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-23",
        "last_updated": "2014-04-13",
        "status": "A",
        "authorized_official_last_name": "LEVESQUE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-606-0026",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019008764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2014; 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.