Ebonique Wilson
NPI 1770181521 · Massage Therapist · San Jose, CA
Ebonique Wilson is a Massage Therapist provider in San Jose, CA (NPI 1770181521).
Provider details
- NPI number
- 1770181521
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 12550 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-10-14
- Last updated
- 2020-10-14
- Certified
- 2020-10-14
Frequently asked questions
- What is Ebonique Wilson's NPI number?
- Ebonique Wilson's National Provider Identifier (NPI) is 1770181521, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ebonique Wilson's specialty?
- Ebonique Wilson is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ebonique Wilson located?
- Ebonique Wilson's practice location on file with NPPES is 380 Vista Roma Way Unit 316, San Jose, CA 95136-4421.
- What is Ebonique Wilson's phone number?
- The practice phone number listed in the NPPES registry for Ebonique Wilson is (408) 603-7012.
- Is Ebonique Wilson's NPI active?
- Yes — Ebonique Wilson's NPI (1770181521) is active in the NPPES registry as of the last update on 2020-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.