Individual provider Active NPI

Teri Lynn Wilhoite, LMT

  • Massage Therapist
  • Live Oak, FL
National Provider Identifier
1740555697
Registry record updated Mar 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA58052 Issued in FL
Practice address
10031 State Road 51
Live Oak, FL 32060-6372
Phone
(386) 330-0173
NPI assigned
Mar 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2012

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 MA58052 FL Primary

Addresses

Primary practice location

10031 State Road 51
Live Oak, FL 32060-6372

Mailing address

10031 State Road 51
Live Oak, FL 32060-6372
Phone (386) 330-0173

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
MA58052FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1331424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331424000000",
    "number": "1740555697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10031 STATE ROAD 51",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320606372",
            "telephone_number": "386-330-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 STATE ROAD 51",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320606372",
            "telephone_number": "386-330-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHOITE",
        "first_name": "TERI",
        "middle_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-11",
        "last_updated": "2012-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA58052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2012; 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.