Individual provider Active NPI

Patricia Ann Cleeland, L.M.T.

  • Massage Therapist
  • Cypress, TX
National Provider Identifier
1386897098
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT105833 Issued in TX
Practice address
14618 Cypress Valley Dr
Cypress, TX 77429-1988
Phone
(713) 628-5717
NPI assigned
Oct 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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 MT105833 TX Primary

Addresses

Primary practice location

14618 Cypress Valley Dr
Cypress, TX 77429-1988

Mailing address

14618 Cypress Valley Dr
Cypress, TX 77429-1988
Phone (713) 628-5717

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
MT105833TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1386897098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14618 CYPRESS VALLEY DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291988",
            "telephone_number": "713-628-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14618 CYPRESS VALLEY DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291988",
            "telephone_number": "713-628-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEELAND",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT105833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.