Individual provider Active NPI

Vancarlus Sontelle Tennison, RMT

  • Massage Therapist
  • Arlington, TX
National Provider Identifier
1235309592
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT017973 Issued in TX
Practice address
800 W Arbrook Suite 200
Arlington, TX 76015
Phone
(214) 460-7244
NPI assigned
Mar 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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 MT017973 TX Primary

Addresses

Primary practice location

800 W Arbrook Suite 200
Arlington, TX 76015

Mailing address

800 W Arbrook Suite 200
Arlington, TX 76015
Phone (214) 460-7244

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
MT017973TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1235309592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W ARBROOK SUITE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76015",
            "telephone_number": "214-460-7244",
            "fax_number": "817-467-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W ARBROOK SUITE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76015",
            "telephone_number": "214-460-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNISON",
        "first_name": "VANCARLUS",
        "middle_name": "SONTELLE",
        "name_prefix": "Mr.",
        "credential": "RMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT017973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

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