Active NPI
Jessica Lauren Szymanski, LMT, MTI
- Massage Therapist
- Grapevine, TX
National Provider Identifier
1285255604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 123101
- Practice address
- 218 E Dallas Rd # 102
Grapevine, TX 76051-7672 - Phone
- (817) 251-9790
- NPI assigned
- Apr 27, 2020
- Sex
- Female
- 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 | 123101 | TX | Primary |
Addresses
Primary practice location
218 E Dallas Rd # 102
Grapevine, TX 76051-7672
Mailing address
20730 Timber Rose
San Antonio, TX 78266-2357
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 |
|---|---|---|---|
| 123101 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1285255604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20730 TIMBER ROSE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782662357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 E DALLAS RD # 102",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760517672",
"telephone_number": "817-251-9790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZYMANSKI",
"first_name": "JESSICA",
"middle_name": "LAUREN",
"credential": "LMT, MTI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-27",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "123101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.