Individual provider Active NPI

Josh Longworth, LMT

  • Massage Therapist
  • Little Elm, TX
National Provider Identifier
1073071213
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
103513 Issued in TX
Practice address
1395 E Eldorado Pkwy Ste 200
Little Elm, TX 75068-5508
Phone
(972) 987-4672
Fax
(972) 987-4693
NPI assigned
Mar 6, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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 103513 TX Primary

Addresses

Primary practice location

1395 E Eldorado Pkwy Ste 200
Little Elm, TX 75068-5508

Mailing address

1395 E Eldorado Pkwy Ste 200
Little Elm, TX 75068-5508
Phone (972) 987-4672

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
103513TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Elm Physical Rehab Center, LLC. Massage Therapist CurrentSince Apr 11, 2021 Accepting new patients

Locations

1395 E Eldorado Pkwy
Ste 200
Little Elm, TX 75068
Phone (972) 987-4672

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.

NPI Registry JSON

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1073071213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 E ELDORADO PKWY STE 200",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685508",
            "telephone_number": "972-987-4672",
            "fax_number": "972-987-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 E ELDORADO PKWY STE 200",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685508",
            "telephone_number": "972-987-4672",
            "fax_number": "972-987-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGWORTH",
        "first_name": "JOSH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-06",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "103513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.