Active NPI
Deja Monique Marshall
- Massage Therapist
- Winston Salem, NC
National Provider Identifier
1891667838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 19651
- Practice address
- 1243 E Sprague St
Winston Salem, NC 27107-3432 - Phone
- (704) 904-0021
- NPI assigned
- Sep 19, 2025
- Last updated
- Sep 19, 2025
- 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 | 19651 | NC | Primary |
Addresses
Primary practice location
1243 E Sprague St
Winston Salem, NC 27107-3432
Mailing address
1243 E Sprague St
Winston Salem, NC 27107-3432
Phone (704) 904-0021
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 |
|---|---|---|---|
| 19651 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1891667838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1243 E SPRAGUE ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271073432",
"telephone_number": "704-904-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1243 E SPRAGUE ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271073432",
"telephone_number": "704-904-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "DEJA",
"middle_name": "MONIQUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-19",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "19651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.