Individual provider Active NPI

Candice Jeanice Stolle

  • Massage Therapist
  • Austin, TX
National Provider Identifier
1013765213
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT110607 Issued in TX
Practice address
7101 W Highway 71 Ste a-1
Austin, TX 78735-8307
Phone
(512) 529-0027
NPI assigned
May 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2024

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 MT110607 TX Primary

Addresses

Primary practice location

7101 W Highway 71 Ste a-1
Austin, TX 78735-8307

Mailing address

7101 W Highway 71 Ste a-1
Austin, TX 78735-8307

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
MT110607TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deep Relief Medical PLLC CurrentSince Oct 13, 2024 Accepting new patients
Deep Relief LLC Massage Therapist PastSince May 12, 2024 Accepting new patients

Locations

7101 W Highway 71
Ste A1
Austin, TX 78735
Phone (512) 529-0027

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1715385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1013765213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 W HIGHWAY 71 STE A-1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 W HIGHWAY 71 STE A-1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358307",
            "telephone_number": "512-529-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLE",
        "first_name": "CANDICE",
        "middle_name": "JEANICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-11",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT110607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; 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.