Active NPI
Tisha Windland, LMT
- Massage Therapist
- Saint Marys, WV
National Provider Identifier
1558985028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2017-3540
- Practice address
- 210 2ND St
Saint Marys, WV 26170-1097 - Phone
- (304) 699-1419
- Fax
- (304) 586-6424
- NPI assigned
- Jun 1, 2020
- 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 | 2017-3540 | WV | Primary |
Addresses
Primary practice location
210 2ND St
Saint Marys, WV 26170-1097
Mailing address
210 2ND St
Saint Marys, WV 26170-1097
Phone (304) 699-1419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017-3540 | Other | WV | LMT LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.movmindfulness.com | Direct |
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 |
|---|---|---|---|
| 2017-3540 | WV | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590969600000",
"number": "1558985028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 2ND ST",
"city": "SAINT MARYS",
"state": "WV",
"postal_code": "261701097",
"telephone_number": "304-699-1419",
"fax_number": "304-586-6424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 2ND ST",
"city": "SAINT MARYS",
"state": "WV",
"postal_code": "261701097",
"telephone_number": "304-699-1419",
"fax_number": "304-586-6424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDLAND",
"first_name": "TISHA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-01",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WV",
"license": "2017-3540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMT LICENSE",
"identifier": "2017-3540",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.movmindfulness.com",
"affiliation": "N",
"endpointDescription": "Mindfulness website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "210 2nd St",
"city": "Saint Marys",
"state": "WV",
"country_code": "US",
"postal_code": "261701097",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Saint Marys, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.