COURTNEY EVANS-WALL LMT
NPI 1275490120
Massage Therapist in Massapequa, NY

Active since January 05, 2026
5513 MERRICK RD, MASSAPEQUA, NY 11758(516) 541-8933 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Courtney Evans-wall Lmt NPPES

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

COURTNEY EVANS-WALL LMT (NPI 1275490120) is an individual massage therapist in Massapequa, New York, licensed in New York (033928-01) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1275490120
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameCOURTNEY EVANS-WALLCredential: LMT
Location Address5513 MERRICK RDMassapequa, NY 11758-6215
Mailing Address19135 116th AveSaint Albans, NY 11412-3101
Sole ProprietorYes
Enumeration DateJanuary 5, 2026
NPPES CertifiedJanuary 5, 2026
NPI 1275490120 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 NY · 033928-01
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.
5513 MERRICK RD, Massapequa, NY 11758

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

Clinic/Center (Radiology, Mobile)
5513 MERRICK RD
MASSAPEQUA, NY 11758
Massage Therapist
5513 MERRICK RD
MASSAPEQUA, NY 11758
Massage Therapist
5513 MERRICK RD
MASSAPEQUA, NY 11758
Massage Therapist
5513 MERRICK RD
MASSAPEQUA, NY 11758
Massage Therapist
5513 MERRICK RD
MASSAPEQUA, NY 11758
Massage Therapist
5513 MERRICK RD
MASSAPEQUA, NY 11758
Massage Therapist
5513 MERRICK RD
MASSAPEQUA, NY 11758
Massage Therapist
5513 MERRICK RD
MASSAPEQUA, NY 11758

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 Courtney Evans-wall's NPI number?

The NPI number for Courtney Evans-wall is 1275490120. It was assigned to this individual provider in the NPPES registry on January 5, 2026.

Where is Courtney Evans-wall located?

Courtney Evans-wall practices at 5513 Merrick Rd, Massapequa, NY 11758. The listed phone number is (516) 541-8933.

What is Courtney Evans-wall'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 Courtney Evans-wall was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.