Stewart M Wurtz, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227.000739 Issued in IL

Practice address

2413 Deerpath Dr
Lindenhurst, IL 60046-7805

Phone

(847) 691-7443

NPI assigned

Apr 25, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429920000000",
    "number": "1629465810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 DEERPATH DR",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600467805",
            "telephone_number": "847-691-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 DEERPATH DR",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600467805",
            "telephone_number": "847-691-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURTZ",
        "first_name": "STEWART",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-25",
        "last_updated": "2015-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.000739",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "1182-146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Wells
• Cori Michelle Wiedrich, DC
• Nathan Evan Wiedrich, DC
• Madelyn Alice Wilkinson
• Adam Giles Witt, DPT, PT, CSCS
• Wyant Pediatric Therapy Services, Inc.
• Julie K Wyant, OTR
• Jay A Wygodny, DMD PC
• Christine Ann Wyszomirski, P.A.-C

• Massage Therapist in Lindenhurst, IL
• Providers in Lindenhurst, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2015; 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.