Active NPI
Autumn Louise Lillard
- Massage Therapist
- Tulsa, OK
National Provider Identifier
1962299941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 195550
- Practice address
- 8922 S Memorial Dr Ste B
Tulsa, OK 74133-4341 - Phone
- (918) 615-3339
- NPI assigned
- Apr 22, 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 | 195550 | OK | Primary |
Addresses
Primary practice location
8922 S Memorial Dr Ste B
Tulsa, OK 74133-4341
Mailing address
1025 E 60TH St Apt 623
Tulsa, OK 74105-8305
Phone (918) 829-7563
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 |
|---|---|---|---|
| 195550 | OK | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1962299941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 E 60TH ST APT 623",
"city": "TULSA",
"state": "OK",
"postal_code": "741058305",
"telephone_number": "918-829-7563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8922 S MEMORIAL DR STE B",
"city": "TULSA",
"state": "OK",
"postal_code": "741334341",
"telephone_number": "918-615-3339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLARD",
"first_name": "AUTUMN",
"middle_name": "LOUISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-22",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OK",
"license": "195550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.