Individual provider Active NPI

Mitchell Dane Sonnier Jr., LMT

  • Massage Therapist
  • Houston, TX
National Provider Identifier
1255951885
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
101705 Issued in TX
Practice address
5005 W 34TH St Ste 200B
Houston, TX 77092-6676
Phone
(832) 264-3549
NPI assigned
Apr 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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 101705 TX Primary

Addresses

Primary practice location

5005 W 34TH St Ste 200B
Houston, TX 77092-6676

Mailing address

911 W 30TH St
Houston, TX 77018-8205
Phone (832) 264-3549

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

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1255951885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 W 30TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188205",
            "telephone_number": "832-264-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 W 34TH ST STE 200B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770926676",
            "telephone_number": "832-264-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNIER",
        "first_name": "MITCHELL",
        "middle_name": "DANE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "101705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.