Benjamin C Sevidal, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT046676 Issued in TX

Practice address

6600 Harwin Dr Ste 110
Houston, TX 77036-2233

Phone

(713) 933-8266

Fax

(281) 861-5990

NPI assigned

Nov 21, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Reliance Therapy Services

  • Physical Therapy Clinic/Center
  • Houston, TX
  • NPI 1902136237
  NPD (past) Authorized official

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

{
    "created_epoch": "1258761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258761600000",
    "number": "1285962746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9422 KEEGANS WOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835954",
            "telephone_number": "713-933-8266",
            "fax_number": "281-861-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 HARWIN DR STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362233",
            "telephone_number": "713-933-8266",
            "fax_number": "281-861-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVIDAL",
        "first_name": "BENJAMIN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-21",
        "last_updated": "2009-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT046676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seventy Seven House LLC
• Severance Intensive Outpatient Program
• Cimon Severe, AGACNP-BC
• Reginald Severe
• Cesar Seveso, LCSW
• Nicole Sevier, PNP
• Seviin Cosmetics PLLC
• Cesar Augusto Sevilla, MD
• Melissa Ann Sevilla
• Juan Manuel Sevillano Gutierrez, MD

• Massage Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2009; 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.