Individual provider Active NPI

Lisa Sherman, LMT

  • Massage Therapist
  • Missouri City, TX
National Provider Identifier
1114664687
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT136595 Issued in TX
Practice address
9119 Highway 6 Ste 230-486
Missouri City, TX 77459-4876
Phone
(832) 851-7373
NPI assigned
May 17, 2022
Last updated
May 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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 MT136595 TX Primary

Addresses

Primary practice location

9119 Highway 6 Ste 230-486
Missouri City, TX 77459-4876

Mailing address

9119 Highway 6 Ste 230-486
Missouri City, TX 77459-4876
Phone (832) 851-7373

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://legendary-health-and-wellness.square.site/

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
MT136595TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1114664687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 HIGHWAY 6 STE 230-486",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594876",
            "telephone_number": "832-851-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 HIGHWAY 6 STE 230-486",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594876",
            "telephone_number": "832-851-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "LISA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT136595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://legendary-health-and-wellness.square.site/",
            "affiliation": "N",
            "address_1": "9119 Highway 6 Ste 230-486",
            "city": "Missouri City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774594876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 17, 2022; 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.