Active NPI
Deborah Marie Wilson, CMT
- Massage Therapist
- Rocklin, CA
National Provider Identifier
1558639393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 24877
- Practice address
- 6839 Five Star Blvd Ste B
Rocklin, CA 95677-2685 - Phone
- (916) 259-2510
- Fax
- (916) 259-0073
- NPI assigned
- Dec 8, 2011
- 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 | 24877 | CA | Primary |
Addresses
Primary practice location
6839 Five Star Blvd Ste B
Rocklin, CA 95677-2685
Mailing address
6839 Five Star Blvd Ste B
Rocklin, CA 95677-2685
Phone (916) 259-2510
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 |
|---|---|---|---|
| 24877 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Massage California Inc | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1558639393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6839 FIVE STAR BLVD STE B",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956772685",
"telephone_number": "916-259-2510",
"fax_number": "916-259-0073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6839 FIVE STAR BLVD STE B",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956772685",
"telephone_number": "916-259-2510",
"fax_number": "916-259-0073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DEBORAH",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-08",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "24877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.