The Knead Physical Medicine, PA

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

THE KNEAD PHYSICAL MEDICINE, PA

Practice address

13465 Inwood Rd
Ste 120-130
Farmers Branch, TX 75244

Phone

(469) 213-2762

NPI assigned

Feb 16, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Dakota Black Hawke

Title

Director of Operations & Finance

Phone

(469) 213-2762

Specialties & licenses 4

Addresses

Tax ID family

Modoma3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Modoma Medmassage, LLC

  • Family Medicine Physician
  • Frisco, TX
  • NPI 1508293382
  NPD tax ID
• The Knead Physical Medicine P.a.

  • Family Medicine Physician
  • Coppell, TX
  • NPI 1710427059
  NPD tax ID

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1174062608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 PRESTON ROAD",
            "address_2": "STE 100A",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "469-213-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13465 INWOOD RD",
            "address_2": "STE 120-130",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "75244",
            "telephone_number": "469-213-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KNEAD PHYSICAL MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "BLACK HAWKE",
        "authorized_official_first_name": "DAKOTA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS & FINANCE",
        "authorized_official_telephone_number": "469-213-2762",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietary Manager",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.