Breath of Life Massage, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

BREATH OF LIFE MASSAGE, LLC

Practice address

305 N Heatherwilde Blvd Ste 140
Pflugerville, TX 78660-4190

Phone

(512) 798-3221

NPI assigned

Mar 22, 2022

Organization subpart

No

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

Authorized official

Name

Brenda Gomez, LMT, LVNNPI 1689323644

Title

Co Owner

Phone

(310) 795-4965

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Gomez, LMT, LVN

  • Massage Therapist
  • Pflugerville, TX
  • NPI 1689323644
  NPD Authorized official

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1326797887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N HEATHERWILDE BLVD STE 140",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604190",
            "telephone_number": "512-798-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N HEATHERWILDE BLVD STE 140",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604190",
            "telephone_number": "512-798-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH OF LIFE MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "310-795-4965",
        "authorized_official_credential": "LMT, LVN"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@breathoflifemassagepf.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "305 N Heatherwilde Blvd Ste 140",
            "city": "Pflugerville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786604190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.