Active NPI
Elizabeth Woodbury, LMP/LMT
- Massage Therapist
- American Fork, UT
National Provider Identifier
1962718080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 9221775-4701
- Practice address
- 321 E 300 N
Ste B
American Fork, UT 84003-1790 - Phone
- (801) 380-9679
- NPI assigned
- Aug 26, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60163027 | WA | |
| Massage Therapist | 225700000X | 9221775-4701 | UT | Primary |
Addresses
Primary practice location
321 E 300 N
Ste B
American Fork, UT 84003-1790
Mailing address
321 E 300 N
Ste B
American Fork, UT 84003-1790
Phone (801) 380-9679
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 |
|---|---|---|---|
| 9221775-4701 | UT | MD | Massage Therapist |
| MA60163027 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1962718080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 E 300 N",
"address_2": "STE B",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840031790",
"telephone_number": "801-380-9679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 E 300 N",
"address_2": "STE B",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840031790",
"telephone_number": "801-380-9679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODBURY",
"first_name": "ELIZABETH",
"name_prefix": "Miss",
"credential": "LMP/LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-26",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60163027",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "9221775-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in American Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.