Active NPI
Charlotte Denice Groves, LMT, NMT, MMP
- Massage Therapist
- Missouri City, TX
National Provider Identifier
1104373034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT039907
- Practice address
- 3406 Rolling Green LN
Missouri City, TX 77459-4029 - Phone
- (713) 416-0331
- NPI assigned
- Sep 8, 2016
- 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 | MT039907 | TX | Primary |
Addresses
Primary practice location
3406 Rolling Green LN
Missouri City, TX 77459-4029
Mailing address
3406 Rolling Green LN
Missouri City, TX 77459-4029
Phone (713) 416-0331
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 |
|---|---|---|---|
| MT039907 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1104373034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3406 ROLLING GREEN LN",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774594029",
"telephone_number": "713-416-0331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3406 ROLLING GREEN LN",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774594029",
"telephone_number": "713-416-0331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVES",
"first_name": "CHARLOTTE",
"middle_name": "DENICE",
"credential": "LMT, NMT, MMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-08",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT039907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.