Active NPI
Julie F Waltz, LMT, MMP
- Massage Therapist
- Deerfield, IL
National Provider Identifier
1871876292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227009200
- Practice address
- 849 Waukegan Rd
Deerfield, IL 60015-3216 - Phone
- (847) 323-9566
- NPI assigned
- Sep 21, 2011
- 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 | 227009200 | IL | Primary |
Addresses
Primary practice location
849 Waukegan Rd
Deerfield, IL 60015-3216
Mailing address
849 Waukegan Rd
Deerfield, IL 60015-3216
Phone (847) 323-9566
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
| License | State | Type | Specialty |
|---|---|---|---|
| 227009200 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1871876292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "849 WAUKEGAN RD",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600153216",
"telephone_number": "847-323-9566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 WAUKEGAN RD",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600153216",
"telephone_number": "847-323-9566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTZ",
"first_name": "JULIE",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "LMT, MMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227009200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield, IL
- Walgreens Health Medical Group P.a. (Walgreens Health)
- Walgreens Holding Company (Walgreens)
- Walgreens Mail Service Inc (Walgreens)
- Walgreens Specialty Pharmacy LLC (Walgreens Specialty Pharmacy)
- Ronald Walls, M.D.
- Jonathan F Wang, PHARM.D.
- Warby Parker Inc.
- Mitchell L Warren, M.D.
- Jordan Washburn, BCBA
- Dajanae Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.