Individual provider Active NPI

Peter Boysworth Meyer, LMT

  • Massage Therapist
  • Corpus Christi, TX
National Provider Identifier
1346073095
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT103538 Issued in TX
Practice address
4646 Corona Dr Ste 172
Corpus Christi, TX 78411-4361
Phone
(361) 947-0958
NPI assigned
Aug 20, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT103538 TX Primary

Addresses

Primary practice location

4646 Corona Dr Ste 172
Corpus Christi, TX 78411-4361

Mailing address

4401 Gulfbreeze Blvd
Corpus Christi, TX 78402-1517
Phone (361) 815-1975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT103538TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Massage Center Massage Therapist CurrentSince Aug 25, 2024 Accepting new patients

Locations

4646 Corona Dr
Ste 172
Corpus Christi, TX 78411
Phone (361) 585-9933

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1346073095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 GULFBREEZE BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784021517",
            "telephone_number": "361-815-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 CORONA DR STE 172",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114361",
            "telephone_number": "361-947-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "PETER",
        "middle_name": "BOYSWORTH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT103538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.