Emma Elizabeth Wiley, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

24999 Issued in OR

Practice address

508 Washington St Ste 13
The Dalles, OR 97058-2232

Phone

(541) 316-0787

NPI assigned

Mar 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Emma Elizabeth Kupchin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1942760426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W 4TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970581805",
            "telephone_number": "907-750-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 WASHINGTON ST STE 13",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582232",
            "telephone_number": "541-316-0787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 3rd St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Hood River",
            "state": "OR",
            "postal_code": "970312193",
            "country_code": "US",
            "telephone_number": "503-200-9754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY",
        "first_name": "EMMA",
        "middle_name": "ELIZABETH",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "KUPCHIN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jmaes E West
• Jeffrey Joseph Westin, M.D.
• Kim Whitaker, MD
• Jason R Whitley, PHARMD
• Gressa Widner
• Lori Wilhite
• John D. Willer, D.O.
• Ashlyn Williams, PA-C
• Frederick Williams, LCSW
• Lisa Marie Williamson, LMT

• Massage Therapist in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.