Active NPI
Derek Wilson
- Massage Therapist
- Tempe, AZ
National Provider Identifier
1992642532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 30438
- Practice address
- 9010 S Priest Dr Apt 3082
Tempe, AZ 85284-1098 - Phone
- (480) 310-0976
- NPI assigned
- May 1, 2026
- Sex
- Male
- 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 | 30438 | AZ | Primary |
Addresses
Primary practice location
9010 S Priest Dr Apt 3082
Tempe, AZ 85284-1098
Mailing address
9010 S Priest Dr Apt 3082
Tempe, AZ 85284-1098
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 |
|---|---|---|---|
| 30438 | AZ | MD | Glaucoma Specialist (Ophthalmology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1992642532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9010 S PRIEST DR APT 3082",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852841098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9010 S PRIEST DR APT 3082",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852841098",
"telephone_number": "480-310-0976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DEREK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-01",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "AZ",
"license": "30438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.