Active NPI
Janice M Boisvert, LMT, MA
- Massage Therapist
- Boerne, TX
National Provider Identifier
1063243822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT141770
- Practice address
- 39 Scenic Loop Rd
Boerne, TX 78006-8608 - Phone
- (210) 471-9357
- NPI assigned
- Aug 12, 2024
- Last updated
- Aug 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT141770 | TX | Primary |
Addresses
Primary practice location
39 Scenic Loop Rd
Boerne, TX 78006-8608
Mailing address
229 Cold Riv
Boerne, TX 78006-1957
Phone (210) 471-9357
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT141770 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1063243822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 COLD RIV",
"city": "BOERNE",
"state": "TX",
"postal_code": "780061957",
"telephone_number": "210-471-9357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 SCENIC LOOP RD",
"city": "BOERNE",
"state": "TX",
"postal_code": "780068608",
"telephone_number": "210-471-9357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOISVERT",
"first_name": "JANICE",
"middle_name": "M",
"credential": "LMT, MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT141770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.