Active NPI
Adrienne Christina Willis, LMT
- Massage Therapist
- Bronx, NY
National Provider Identifier
1518631050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 030753-01
- Practice address
- 93 E 233Rd St Apt 3R
Bronx, NY 10470-2226 - Phone
- (914) 458-2725
- NPI assigned
- Aug 8, 2021
- Last updated
- Aug 8, 2021
- 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 | 030753-01 | NY | Primary |
Addresses
Primary practice location
93 E 233Rd St Apt 3R
Bronx, NY 10470-2226
Mailing address
93 E 233Rd St Apt 3R
Bronx, NY 10470-2226
Phone (914) 458-2725
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 |
|---|---|---|---|
| 030753-01 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628380800000",
"number": "1518631050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 E 233RD ST APT 3R",
"city": "BRONX",
"state": "NY",
"postal_code": "104702226",
"telephone_number": "914-458-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 E 233RD ST APT 3R",
"city": "BRONX",
"state": "NY",
"postal_code": "104702226",
"telephone_number": "914-458-2725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "ADRIENNE",
"middle_name": "CHRISTINA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-08",
"last_updated": "2021-08-08",
"certification_date": "2021-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "030753-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.