Benjamin J Mickens

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

7330 San Pedro
Suite 130
San Antonio, TX 78216-6235

Phone

(210) 349-0550

NPI assigned

Jul 23, 2007

Sex

Male

Sole proprietor

No

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

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.

• San Antonio Massage & Spa

  • Mechanotherapist
  • San Antonio, TX
  • NPI 1063707222
  NPD (past)
• San Antonio Massage Co PLLC

  • Massage Therapist
  • San Antonio, TX
  • NPI 1699979666
  NPD (past)

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1295935666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 COPPERSIDE",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093901",
            "telephone_number": "210-724-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 SAN PEDRO",
            "address_2": "SUITE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166235",
            "telephone_number": "210-349-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKENS",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michon Tucker
• Kathleen Miciano
• Michele Annette Mick, PH.D.
• Krista Mickelsen, LMSW
• Rachel Ann Mickelsen, LPC, LCDC
• Jenna Mickey, PT, DPT
• Rebecca Naomi Mickle
• Microtia Congenital Ear Institute
• Mid Texas Infectious Diseases Consultants PA
• Michael R. Middlebrook, M.D.

• Massage Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.