Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick Wilson, MT

Individual provider Massage Therapist · NPI 1255162111

Derrick Wilson, MT is a Massage Therapist in Washington, District of Columbia. Practices as a sole proprietor and works from 2 locations. Licensed in District of Columbia.

Licensed in
DC
In the registry since
2024
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

2701 Ontario Rd NW
Washington, DC 20009-2144
Phone: (202) 299-9005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5240 S Dakota Ave Ne, Washington, DC 20011-2603 — (240) 883-7775

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT2457 (DC)

Record details

NPI number1255162111
Entity typeIndividual (Type 1)
GenderMale
Credentials MT
Sole proprietorYes
NPI enumeratedAugust 12, 2024
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024

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