William Joseph Theriault, MASSAGE PRACTITIONE
NPI 1366054215ActiveIndividual· Massage Therapist· Fountain Valley, CA
Massage Therapist (MASSAGE PRACTITIONE) in Fountain Valley, California, licensed in CA, with an NPI issued in August 2020.
Overview
| NPI | 1366054215 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MASSAGE PRACTITIONE |
| Sole proprietor | No |
| NPI issued | Aug 21, 2020 |
| Last updated in NPPES | Aug 21, 2020 |
| Certified by provider | Aug 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Massage Therapist Primary | 225700000X | 27601 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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