Active NPI
Edward John Vogt, LMT 0006994
- Massage Therapist
- Boerne, TX
National Provider Identifier
1073832739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT0006994
- Practice address
- 10014 Johns Rd
Boerne, TX 78006-8811 - Phone
- (830) 816-2624
- Fax
- (830) 816-2621
- NPI assigned
- May 20, 2010
- Last updated
- Jun 7, 2010
- Sex
- Male
- 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 | MT0006994 | TX | Primary |
Addresses
Primary practice location
10014 Johns Rd
Boerne, TX 78006-8811
Mailing address
10014 Johns Rd
Boerne, TX 78006-8811
Phone (830) 816-2624
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 |
|---|---|---|---|
| MT0006994 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275868800000",
"number": "1073832739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10014 JOHNS RD",
"city": "BOERNE",
"state": "TX",
"postal_code": "780068811",
"telephone_number": "830-816-2624",
"fax_number": "830-816-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10014 JOHNS RD",
"city": "BOERNE",
"state": "TX",
"postal_code": "780068811",
"telephone_number": "830-816-2624",
"fax_number": "830-816-2621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGT",
"first_name": "EDWARD",
"middle_name": "JOHN",
"credential": "LMT 0006994",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-20",
"last_updated": "2010-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT0006994",
"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 Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.