Individual provider Active NPI

Maria Minerva Gutierrez Juarez, LMT

  • Massage Therapist
  • Bellaire, TX
National Provider Identifier
1003694928
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT107139 Issued in TX
Practice address
6300 West Loop S Ste 150
Bellaire, TX 77401-2915
Phone
(713) 503-3194
Fax
(866) 872-9664
NPI assigned
Sep 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT107139 TX Primary

Addresses

Primary practice location

6300 West Loop S Ste 150
Bellaire, TX 77401-2915

Mailing address

6300 West Loop S Ste 150
Bellaire, TX 77401-2915
Phone (713) 503-3194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT107139TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Sports Therapy LLC CurrentSince Sep 24, 2023 Accepting new patients

Locations

6300 West Loop S
Ste 150
Bellaire, TX 77401
Phone (713) 503-3194

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1003694928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP S STE 150",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012915",
            "telephone_number": "713-503-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP S STE 150",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012915",
            "telephone_number": "713-503-3194",
            "fax_number": "866-872-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ JUAREZ",
        "first_name": "MARIA",
        "middle_name": "MINERVA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT107139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.