Active NPI
Emily Grace Wood
- Massage Therapist
- Windsor, CO
National Provider Identifier
1992393854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0022885
- Practice address
- 113 5TH St
Windsor, CO 80550-5107 - Phone
- (970) 833-5709
- NPI assigned
- Jan 6, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 0022885 | CO | Primary |
Addresses
Primary practice location
113 5TH St
Windsor, CO 80550-5107
Mailing address
1720 Kirkwood Dr Apt N25
Fort Collins, CO 80525-2026
Phone (828) 318-7299
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 |
|---|---|---|---|
| 0022885 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1992393854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 KIRKWOOD DR APT N25",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805252026",
"telephone_number": "828-318-7299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 5TH ST",
"city": "WINDSOR",
"state": "CO",
"postal_code": "805505107",
"telephone_number": "970-833-5709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "EMILY",
"middle_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "0022885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.