Rebecca Lynne Wilson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

61229053 Issued in WA

Practice address

22790 Buchanan St
Mount Vernon, WA 98273-8023

Phone

(360) 856-5562

NPI assigned

Oct 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Country Chiropractic Clinic, PLLC

  • Chiropractor
  • Mount Vernon, WA
  • NPI 1184757981
  NPD

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1629732607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 508",
            "city": "CLEARLAKE",
            "state": "WA",
            "postal_code": "982350508",
            "telephone_number": "360-856-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22790 BUCHANAN ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982738023",
            "telephone_number": "360-856-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "REBECCA",
        "middle_name": "LYNNE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61229053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard V. Williamson, MD
• Alexander Willis, M.D.
• Willow Bridge LLC
• Roger Lewis Wills
• Elizabeth J Wilson, OTR-L
• Susan Wilson, PA-C
• Anne C Winkes, ARNP
• Ben M Winkes, MD
• L Sloane Winkes, M.D.
• Karl Frank Wiscombe

• Massage Therapist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.