Active NPI
Kenneth Eugene Frey II
- Massage Therapist
- Arlington, TX
National Provider Identifier
1063922458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT112652
- Practice address
- 1402 West Mayfield Road
Suite 420
Arlington, TX 76015 - Phone
- (214) 536-2955
- NPI assigned
- Oct 11, 2017
- Sex
- Male
- Sole proprietor
- No
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 | MT112652 | TX | Primary |
Addresses
Primary practice location
1402 West Mayfield Road
Suite 420
Arlington, TX 76015
Mailing address
4621 South Cooper Street
Suite 131, Box 348
Arlington, TX 76017
Phone (214) 536-2955
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT112652 | TX | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Balance in Control, L.L.C. | Massage Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Massage Therapist
- Arlington, TX
- NPI 1194235580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507680000000",
"number": "1063922458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4621 SOUTH COOPER STREET",
"address_2": "SUITE 131, BOX 348",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76017",
"telephone_number": "214-536-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 WEST MAYFIELD ROAD",
"address_2": "SUITE 420",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76015",
"telephone_number": "214-536-2955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREY",
"first_name": "KENNETH",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-11",
"last_updated": "2017-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT112652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.