1. Home
  2. Directory
  3. District Of Columbia
  4. Washington
  5. Massage Therapist
  6. NPI Profile

DERRICK WILSON MT
NPI 1255162111
Massage Therapist in Washington, DC

Active since August 12, 2024
2701 ONTARIO RD NW, WASHINGTON, DC 20009(202) 299-9005 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derrick Wilson Mt NPPES

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

DERRICK WILSON MT (NPI 1255162111) is an individual massage therapist in Washington, District Of Columbia, licensed in District Of Columbia (MT2457) and active in the NPI registry since August 2024. He maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1255162111
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameDERRICK WILSONCredential: MT
Location Address2701 ONTARIO RD NWWashington, DC 20009-2144
Mailing Address883 Clopper Rd Apt A4Gaithersburg, MD 20878-4424 · (518) 421-7242
Phone(202) 299-9005
Sole ProprietorYes
Enumeration DateAugust 12, 2024
NPPES CertifiedAugust 12, 2024
✔ NPI 1255162111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in DC · MT2457
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.
2701 ONTARIO RD NW, Washington, DC 20009
Open in Google Maps ↗

Secondary Practice Location 1

Location 15240 S Dakota Ave NEWashington, DC 20011-2603 · Phone (240) 883-7775 ext. 100

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIRIL STASOVSKYI
Massage Therapist
2701 ONTARIO RD NW
WASHINGTON, DC 20009
District of Columbia (703) 740-6487
TUSUVA LLC
Massage Therapist
2701 ONTARIO RD NW
WASHINGTON, DC 20009
District of Columbia (202) 299-9005
WIMOLWAN NILDUM LMT
Massage Therapist
2701 ONTARIO RD NW
WASHINGTON, DC 20009
District of Columbia (202) 391-1214
YANINA TULL
Massage Therapist
2701 ONTARIO RD NW
WASHINGTON, DC 20009
District of Columbia (571) 241-4278
ANTONINA Y AGAFONOVA
Massage Therapist
2701 ONTARIO RD NW
WASHINGTON, DC 20009
District of Columbia (202) 320-0250
JORDAN FRYE LMT
Massage Therapist
2701 ONTARIO RD NW
WASHINGTON, DC 20009
District of Columbia (202) 299-9005

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 Derrick Wilson's NPI number?

The NPI number for Derrick Wilson is 1255162111. It was assigned to this individual provider in the NPPES registry on August 12, 2024.

Where is Derrick Wilson located?

Derrick Wilson practices at 2701 Ontario Rd NW, Washington, DC 20009. The listed phone number is (202) 299-9005.

What is Derrick 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 Derrick Wilson was last updated on August 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.