Egate, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT119442 Issued in TX

Legal business name

EGATE, LLC

Practice address

12818 Century Dr Ste 1102
Stafford, TX 77477-4224

Phone

(832) 741-7654

NPI assigned

May 8, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jason Wong, LMT

Title

Licensed Massage Therapist

Phone

(832) 741-7654

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1336527449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12307 MAPLE LEAF LN",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774771691",
            "telephone_number": "832-741-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12818 CENTURY DR STE 1102",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774224",
            "telephone_number": "832-741-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "832-741-7654",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT119442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF STATE HEALTH SERAVICES",
            "identifier": "MT119442",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Easo
• Ecurb Solutions LLC
• David L Edell, LAT, ATC, CSCS
• Cynthia C Edmiston, SLP
• Kristen Edmunds, PT
• Clothilda Ekeanyanwu
• Christy Ebelechukwu Ekeke, RN, APRN, FNP
• Shawnia L Elder
• Elderly Care of Texas
• Mahmoud Elemam

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.