Active NPI
Andy Jung
- Massage Therapist
- Arlington, TX
National Provider Identifier
1235871377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT135263
- Practice address
- 305 E Randol Mill Rd
Arlington, TX 76011-5838 - Phone
- (407) 706-7532
- NPI assigned
- Apr 9, 2022
- Sex
- Male
- Sole proprietor
- No
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 | MT135263 | TX | Primary |
Addresses
Primary practice location
305 E Randol Mill Rd
Arlington, TX 76011-5838
Mailing address
305 E Randol Mill Rd
Arlington, TX 76011-5838
Phone (407) 706-7532
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | massagebook.com |
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 |
|---|---|---|---|
| MT135263 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686441600000",
"number": "1235871377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 E RANDOL MILL RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760115838",
"telephone_number": "407-706-7532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 E RANDOL MILL RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760115838",
"telephone_number": "407-706-7532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "ANDY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-09",
"last_updated": "2023-06-11",
"certification_date": "2023-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT135263",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "massagebook.com",
"affiliation": "N",
"address_1": "401 S Collins St",
"city": "Arlington",
"state": "TX",
"country_code": "US",
"postal_code": "760101915",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 11, 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.