Joseph Anthony Wiborg, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60897904 Issued in WA

Practice address

128 D St SW
Tumwater, WA 98501-4064

Phone

(360) 570-9580

NPI assigned

Feb 21, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Physical Therapy Empowered, PLLC

  • Physical Therapist
  • Olympia, WA
  • NPI 1912538505
  NPD (past)
• Tumwater Chiropractic Center PS

  • Chiropractor
  • Tumwater, WA
  • NPI 1659578516
  NPD (past)

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1902363427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 THRUSH DR SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985135548",
            "telephone_number": "206-919-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 D ST SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014064",
            "telephone_number": "360-570-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIBORG",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60897904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Tami Wharton, LPN
• Nancie Whitcomb, RN
• Ashley White
• Cynthia Ann Whitney, MD
• Whole Child Therapy Services, LLC
• Monique T Wiedrich, LMP
• Samantha C Wikan, LMT
• Diana Wilcox, PMHNP
• Ronald Dale Wilcox, DC
• Karolina Agnieszka Wilczynska-Oberc

• Massage Therapist in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.