Individual provider Active NPI

Aleesha Marie Wilson, LMT

  • Massage Therapist
  • Tacoma, WA
National Provider Identifier
1578130928
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61153719 Issued in WA
Practice address
2611 N Stevens St
Tacoma, WA 98407-4670
Phone
(253) 759-1500
Fax
(253) 759-4172
NPI assigned
Jun 4, 2021
Last updated
Jun 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA61153719 WA Primary

Addresses

Primary practice location

2611 N Stevens St
Tacoma, WA 98407-4670

Mailing address

2611 N Stevens St
Tacoma, WA 98407-4670
Phone (253) 759-1500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Contact@Tacomachiropracticcenter.com

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

LicenseStateTypeSpecialty
MA61153719WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tacoma Chiropractic Center LLC PastSince Jun 6, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: contact@tacomachiropracticcenter.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1578130928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 N STEVENS ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984074670",
            "telephone_number": "253-759-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 N STEVENS ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984074670",
            "telephone_number": "253-759-1500",
            "fax_number": "253-759-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALEESHA",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61153719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Contact@Tacomachiropracticcenter.com",
            "affiliation": "N",
            "address_1": "2611 N Stevens St",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984074670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.