The Great Escape

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

MT101857 Issued in TX

Legal business name

THE GREAT ESCAPE

Practice address

1500 E Highway 82
Suite -26
Gainesville, TX 76240-2831

Phone

(940) 736-3156

NPI assigned

Feb 10, 2008

Organization subpart

Yes

Parent organization

THERAPEUTIC MASSAGEAs reported in NPPES

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

Authorized official

Name

Mrs. Mary Lee Watson, MLT

Title

Licensed Massage Therapist

Phone

(940) 736-3156

Specialties & licenses 1

Addresses

Other names 1

• none Doing business as

Part of

The Great Escape

Locations

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

{
    "created_epoch": "1202601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202601600000",
    "number": "1174701353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E HIGHWAY 82",
            "address_2": "SUITE -26",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402831",
            "telephone_number": "940-736-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E HIGHWAY 82",
            "address_2": "SUITE -26",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402831",
            "telephone_number": "940-736-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GREAT ESCAPE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERAPEUTIC MASSAGE",
        "enumeration_date": "2008-02-10",
        "last_updated": "2008-02-10",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "940-736-3156",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MLT"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "MT101857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Nicole Taylor, NP
• Angela Kay Tempel
• Texas Em-I Medical Services PA
• The Dialysis Cottage LLC
• The Evangelical Lutheran Good Samaritan Society
• Therapy With Izerial
• Thomas Currier MD PA
• Through the Woods Counseling of North Texas
• Through the Woods Counseling of North Texas
• Morghan E'Lise Tischler, PHARMD

• Preferred Provider Organization in Gainesville, TX
• Providers in Gainesville, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2008; 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.