NPIMap

Organization Active NPI

Green Family Massage LLC

  • Massage Therapist
  • Holly Lake Ranch, TX
National Provider Identifier
1316720592
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
GREEN FAMILY MASSAGE LLC
Practice address
2250 S FM 2869 Ste 5
Holly Lake Ranch, TX 75765-4974
Phone
(903) 569-4286
NPI assigned
Aug 14, 2023
Last updated
Aug 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Lydia Green, MTNPI 1659154839
Title
Owner/Mt
Phone
(903) 569-4286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

2250 S FM 2869 Ste 5
Holly Lake Ranch, TX 75765-4974

Mailing address

621 N FM 312
Winnsboro, TX 75494-7628

National Provider Directory

National Provider Directory

Locations

2250 S FM 2869
Ste 5
Holly Lake Ranch, TX 75765
Phone (903) 569-4286

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1316720592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N FM 312",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754947628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 S FM 2869 STE 5",
            "city": "HOLLY LAKE RANCH",
            "state": "TX",
            "postal_code": "757654974",
            "telephone_number": "903-569-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN FAMILY MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "OWNER/MT",
        "authorized_official_telephone_number": "903-569-4286",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Lake Ranch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.