Active NPI
Wilbert T Williams
- Massage Therapist
- Southfield, MI
National Provider Identifier
1558934661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 29433 Southfield Rd
Suite 208 Room 8
Southfield, MI 48076 - Phone
- (313) 768-6994
- NPI assigned
- Jul 19, 2021
- Sex
- Male
- 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 | MI | Primary |
Addresses
Primary practice location
29433 Southfield Rd
Suite 208 Room 8
Southfield, MI 48076
Mailing address
235 Yorkshire Blvd Apt 210
Dearborn Heights, MI 48127-3514
Phone (313) 465-0618
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1558934661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 YORKSHIRE BLVD APT 210",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481273514",
"telephone_number": "313-465-0618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29433 SOUTHFIELD RD",
"address_2": "SUITE 208 ROOM 8",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48076",
"telephone_number": "313-768-6994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "WILBERT",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-19",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.