BRADLEY LEMOND WILSON LMT, COTA/L
NPI 1134443005
Massage Therapist in Carmel, IN

Active since March 22, 2010
10293 N MERIDIAN ST STE 125, CARMEL, IN 46290(317) 316-7128 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley Lemond Wilson Lmt, Cota/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY LEMOND WILSON LMT, COTA/L (NPI 1134443005) is an individual massage therapist in Carmel, Indiana, licensed in Indiana (MT2207871) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1134443005
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameBRADLEY LEMOND WILSONCredential: LMT, COTA/L
Location Address10293 N MERIDIAN ST STE 125Carmel, IN 46290-1123
Mailing Address28415 N Duck Creek AveAtlanta, IN 46031-9747 · (317) 316-7128
Sole ProprietorYes
Enumeration DateMarch 22, 2010
Last NPPES UpdateApril 5, 2023
NPPES CertifiedApril 5, 2023
NPI 1134443005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in IN · MT2207871
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X
10293 N MERIDIAN ST STE 125, Carmel, IN 46290

Other Identifiers 3

Other1070991National Board Of Certification In Occupational Therapy, Inc.
OtherMT2207871IN · Indiana Professional Licensing Agency
Other32001316AIN · Indiana Professional Licensing Agency: Occupational Therapy Committee

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Wilson's NPI number?

The NPI number for Bradley Wilson is 1134443005. It was assigned to this individual provider in the NPPES registry on March 22, 2010.

Where is Bradley Wilson located?

Bradley Wilson practices at 10293 N Meridian St Ste 125, Carmel, IN 46290. The listed phone number is (317) 316-7128.

What is Bradley Wilson's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Bradley Wilson was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.