Wharton Enterprises LTD

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

WHARTON ENTERPRISES LTD

Doing business as

Neurosoma of Illinois

Practice address

106 S Vicksburg St
Marion, IL 62959-1930

Phone

(618) 992-2322

Fax

(618) 992-2345

NPI assigned

Nov 6, 2023

Organization subpart

Yes

Parent organization

WHARTON ENTERPRISES LTDAs reported in NPPES

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

Authorized official

Name

Mrs. Lisa F Wharton, LMT

Title

Owner/Shareholder

Phone

(618) 889-3220

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Neurosoma of Illinois Doing business as

Part of

Wharton Enterprises LTD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Labotte

  • Massage Therapist
  • Marion, IL
  • NPI 1053709519
  NPD

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1851164214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1191",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629597691",
            "telephone_number": "618-889-3220",
            "fax_number": "618-992-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S VICKSBURG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591930",
            "telephone_number": "618-992-2322",
            "fax_number": "618-992-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHARTON ENTERPRISES LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHARTON ENTERPRISES LTD",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "WHARTON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/SHAREHOLDER",
        "authorized_official_telephone_number": "618-889-3220",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053709519",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790564383",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548043946",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurosoma of Illinois",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Weinbauer, O.D.
• Whitney Weisenberger, RN
• Crystina Wells
• Deborah J West
• Tracy Deann Westbrook
• Jonathan Wharton, LMT
• Michelle Wharton, APN, NP-C
• Olivia Wheeler, BSN, RN
• Valerie Arlene Wheeler, MASSAGE THERAPIST
• Justin Ross Whipple, NP

• Massage Therapist in Marion, IL
• Providers in Marion, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.