Individual provider Active NPI

Connie Frances Paredes

  • Massage Therapist
  • Grand Prairie, TX
National Provider Identifier
1356218994
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT135997 Issued in TX
Practice address
815 Greenview Dr
Grand Prairie, TX 75050-2439
Phone
(469) 251-1734
Fax
(214) 778-1251
NPI assigned
Oct 20, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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 MT135997 TX Primary

Addresses

Primary practice location

815 Greenview Dr
Grand Prairie, TX 75050-2439

Mailing address

1825 Ruth St
Arlington, TX 76010-2111
Phone (469) 279-3991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

815 Greenview Dr
Grand Prairie, TX 75050-2439

PO Box
Suite 2736
Desoto, TX 75123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT135997TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intire Health Physician Group CurrentSince Nov 7, 2025 Accepting new patients

Locations

815 Greenview Dr
Grand Prairie, TX 75050
Phone (469) 251-1734

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1356218994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 RUTH ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760102111",
            "telephone_number": "469-279-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 GREENVIEW DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750502439",
            "telephone_number": "469-251-1734",
            "fax_number": "214-778-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "CONNIE",
        "middle_name": "FRANCES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT135997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.