Active NPI
Ida Missey
- Massage Therapist
- Rosenberg, TX
National Provider Identifier
1265197974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT123502
- Practice address
- 1217 Westwood Dr Apt 2205
Rosenberg, TX 77471-2246 - Phone
- (832) 221-8436
- NPI assigned
- Nov 8, 2021
- Sex
- Female
- 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 | MT123502 | TX | Primary |
Addresses
Primary practice location
1217 Westwood Dr Apt 2205
Rosenberg, TX 77471-2246
Mailing address
1217 Westwood Dr Apt 2205
Rosenberg, TX 77471-2246
Phone (832) 221-8436
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87-3304423 | Medicaid | TX | |
| 87-3304423 | Other | TX | MASSAGE THERAPY |
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 |
|---|---|---|---|
| MT123502 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1265197974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 WESTWOOD DR APT 2205",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774712246",
"telephone_number": "832-221-8436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 WESTWOOD DR APT 2205",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774712246",
"telephone_number": "832-221-8436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISSEY",
"first_name": "IDA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-08",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT123502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "87-3304423",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY",
"identifier": "87-3304423",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rosenberg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.