Active NPI
Xinfeng Li
- Massage Therapist
- Pearland, TX
National Provider Identifier
1265159206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT137288
- Practice address
- 5402 Broadway St Ste 122
Pearland, TX 77581-3749 - Phone
- (832) 672-4776
- NPI assigned
- Oct 20, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Massage Therapist | 225700000X | MT137288 | TX | Primary |
| Reflexologist | 173C00000X |
Addresses
Primary practice location
5402 Broadway St Ste 122
Pearland, TX 77581-3749
Mailing address
5402 Broadway St Ste 122
Pearland, TX 77581-3749
Phone (832) 672-4776
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT137288 | TX | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Super Brother LLC | Reflexologist | Current | Accepting new patients |
Locations
5402 Broadway St
Ste 122
Pearland, TX 77581
Phone (832) 672-4776
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1265159206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5402 BROADWAY ST STE 122",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775813749",
"telephone_number": "832-672-4776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5402 BROADWAY ST STE 122",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775813749",
"telephone_number": "832-672-4776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "XINFENG",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-20",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT137288",
"primary": true
},
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.