Individual provider Active NPI

Brittany Renee Wilhelm, LMP

  • Massage Therapist
  • Battle Ground, WA
National Provider Identifier
1679743637
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00024177 Issued in WA
Practice address
15 SW 12TH Ave
Battle Ground, WA 98604-4371
Phone
(360) 609-0828
Fax
(360) 666-3388
NPI assigned
Mar 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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 MA00024177 WA Primary

Addresses

Primary practice location

15 SW 12TH Ave
Battle Ground, WA 98604-4371

Mailing address

15 SW 12TH Ave
Battle Ground, WA 98604-4371
Phone (360) 609-0828

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
MA00024177WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Choice Chiropractic PC, Inc. PastSince Mar 24, 2011 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1679743637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SW 12TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044371",
            "telephone_number": "360-609-0828",
            "fax_number": "360-666-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SW 12TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044371",
            "telephone_number": "360-609-0828",
            "fax_number": "360-666-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "BRITTANY",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.