Robert Wall

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

4991 Issued in NC

Practice address

2910 Briarcliffe Rd
Winston Salem, NC 27106-3176

Phone

(336) 399-0178

NPI assigned

Dec 27, 2016

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1972048130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 STICKNEY RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271075518",
            "telephone_number": "336-399-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 BRIARCLIFFE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063176",
            "telephone_number": "336-399-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "4991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quiteya Dawn Walker, LCMHC
• Amy Barta Wall, M.D.
• Byangelia Wall, CADC-R
• Deyette Kay Wall, NP
• Janet Myrick Wall, MED CCC SP
• Amy Hooks Wallace, M.D.
• Ashley Montag Wallace, CRNA
• Denise Marie Wallace, LMFTA
• Ellee L Wallace, PA-C
• Hugh J Wallace, MD

• Massage Therapist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.