Active NPI
Monika V Wilson
- Massage Therapist
- Pearl, MS
National Provider Identifier
1770246118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 110 Cross Park Dr
Pearl, MS 39208-9016 - Phone
- (601) 506-5784
- Fax
- (601) 397-6732
- NPI assigned
- Oct 21, 2021
- Last updated
- Mar 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
110 Cross Park Dr
Pearl, MS 39208-9016
Mailing address
110 Cross Park Dr
Pearl, MS 39208-9016
Phone (601) 506-5784
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Univers Medical Massage | Massage Therapist | Current | Accepting new patients |
Locations
110 Cross Park Dr
Pearl, MS 39208
Phone (601) 397-6731
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": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1770246118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CROSS PARK DR",
"city": "PEARL",
"state": "MS",
"postal_code": "392089016",
"telephone_number": "601-506-5784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CROSS PARK DR",
"city": "PEARL",
"state": "MS",
"postal_code": "392089016",
"telephone_number": "601-506-5784",
"fax_number": "601-397-6732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MONIKA",
"middle_name": "V",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-21",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearl, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.