Active NPI
Khalef Rahhimm Alexis
- Massage Therapist
- Dallas, TX
National Provider Identifier
1275399412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT138701
- Practice address
- 111 W Davis St Apt 160
Dallas, TX 75208-4554 - Phone
- (817) 862-8839
- NPI assigned
- Feb 26, 2024
- Last updated
- Feb 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | MT138701 | TX | Primary |
Addresses
Primary practice location
111 W Davis St Apt 160
Dallas, TX 75208-4554
Mailing address
1627 Summers Dr
Cedar Hill, TX 75104-4919
Phone (817) 862-8839
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 |
|---|---|---|---|
| MT138701 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1275399412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1627 SUMMERS DR",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751044919",
"telephone_number": "817-862-8839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W DAVIS ST APT 160",
"city": "DALLAS",
"state": "TX",
"postal_code": "752084554",
"telephone_number": "817-862-8839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXIS",
"first_name": "KHALEF",
"middle_name": "RAHHIMM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT138701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.