Individual provider Active NPI

Brian Wingate, LMT

  • Massage Therapist
  • Nashville, TN
National Provider Identifier
1881303659
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
4011 Issued in TN
Practice address
2021 21St Ave S Ste 309
Nashville, TN 37212-4358
Phone
(615) 496-0782
NPI assigned
Nov 21, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 4011 TN Primary

Addresses

Primary practice location

2021 21St Ave S Ste 309
Nashville, TN 37212-4358

Mailing address

544 Westboro Dr
Nashville, TN 37209-1744
Phone (615) 496-0782

Other practice location 1

2002 Eastland Ave Ste 102
Nashville, TN 37206-1705
Phone (615) 496-0782

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@livingbodies.org Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1881303659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 WESTBORO DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091744",
            "telephone_number": "615-496-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 21ST AVE S STE 309",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124358",
            "telephone_number": "615-496-0782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2002 Eastland Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372061705",
            "country_code": "US",
            "telephone_number": "615-496-0782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINGATE",
        "first_name": "BRIAN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "4011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@livingbodies.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2021 21st Ave S Ste 309",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372124358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.