Active NPI
Tonya Lynn Henderson, LMT
- Massage Therapist
- Gainesville, TX
National Provider Identifier
1124375597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT113298
- Practice address
- 1019 E California St
Gainesville, TX 76240-4203 - Phone
- (940) 902-3979
- Fax
- (214) 292-9650
- NPI assigned
- Aug 5, 2012
- 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 | MT113298 | TX | Primary |
Addresses
Primary practice location
1019 E California St
Gainesville, TX 76240-4203
Mailing address
1019 E California St
Gainesville, TX 76240-4203
Phone (940) 902-3979
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 |
|---|---|---|---|
| MT113298 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1124375597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 E CALIFORNIA ST",
"city": "GAINESVILLE",
"state": "TX",
"postal_code": "762404203",
"telephone_number": "940-902-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 E CALIFORNIA ST",
"city": "GAINESVILLE",
"state": "TX",
"postal_code": "762404203",
"telephone_number": "940-902-3979",
"fax_number": "214-292-9650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "TONYA",
"middle_name": "LYNN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-05",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT113298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.