Individual provider Active NPI

Stanley Barron McDonald, LMT

  • Massage Therapist
  • Houston, TX
National Provider Identifier
1104393271
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
029219 Issued in TX
Practice address
2990 Richmond Ave Ste 440
Houston, TX 77098-3113
Phone
(832) 526-6520
NPI assigned
Oct 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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 029219 TX Primary

Addresses

Primary practice location

2990 Richmond Ave Ste 440
Houston, TX 77098-3113

Mailing address

2990 Richmond Ave Ste 440
Houston, TX 77098-3113
Phone (832) 526-6520

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
029219TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stan'S Hands Massage and Wellness, LLC Massage Therapist CurrentSince Aug 27, 2023 Accepting new patients

Locations

2990 Richmond Ave
Ste 440
Houston, TX 77098
Phone (832) 526-6520

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": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1104393271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 RICHMOND AVE STE 440",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983113",
            "telephone_number": "832-526-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 RICHMOND AVE STE 440",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983113",
            "telephone_number": "832-526-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "STANLEY",
        "middle_name": "BARRON",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-26",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "029219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.