Teah Andrea Bishop, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

129443 Issued in TX

Practice address

4646 Corona Dr Ste 172
Corpus Christi, TX 78411-4361

Phone

(361) 585-9933

NPI assigned

Aug 26, 2024

Last updated

Aug 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1144053059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4458 LAKE SUPERIOR DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135800",
            "telephone_number": "361-585-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 CORONA DR STE 172",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114361",
            "telephone_number": "361-585-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "TEAH",
        "middle_name": "ANDREA",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "129443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Texas, Inc. (Fresenius Medical Care Saratoga)
• Darci Rhea Bisbee, LVN
• Clayton Matthew Bishop, MD, MPH
• Elyse Bishop, LPC-ASSOCIATE
• John E. Bishop, MD
• Javia-Dale Bispott, MD
• Javine Dale Bispott, MD
• Seema Bista, MD
• Charles Lee Bivona, M.D.
• BKD Homewood Corpus Christi Propco, LLC (Brookdale Corpus Christi)

• Massage Therapist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.