Individual provider Active NPI

Elizabeth Lawton, LMT, CMT, NCTMB

  • Massage Therapist
  • Palmer, AK
National Provider Identifier
1811399694
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
726846 Issued in AK
Practice address
1865 N Kentucky Derby Dr
Palmer, AK 99645-8836
Phone
(907) 746-3270
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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 726846 AK Primary

Addresses

Primary practice location

1865 N Kentucky Derby Dr
Palmer, AK 99645-8836

Mailing address

1865 N Kentucky Derby Dr
Palmer, AK 99645-8836
Phone (907) 746-3270

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
726846AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wild Iris Integrative Massage LLC Massage Therapist Past 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": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1811399694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 N KENTUCKY DERBY DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458836",
            "telephone_number": "907-746-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 N KENTUCKY DERBY DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458836",
            "telephone_number": "907-746-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWTON",
        "first_name": "ELIZABETH",
        "credential": "LMT, CMT, NCTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "726846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.