Individual provider Active NPI

Carol Schmidt, LMT

  • Massage Therapist
  • Mansfield, TX
National Provider Identifier
1396250825
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT105168 Issued in TX
Practice address
1804 Owen CT Ste 102
Mansfield, TX 76063-4235
Phone
(817) 225-5431
Fax
(817) 453-9780
NPI assigned
Dec 6, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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 MT105168 TX Primary

Addresses

Primary practice location

1804 Owen CT Ste 102
Mansfield, TX 76063-4235

Mailing address

737 Kensington LN
Mansfield, TX 76063-2820
Phone (817) 225-5431

Other practice location 1

737 Kensington Ln
Mansfield, TX 76063-2820
Phone (817) 225-5431

Other identifiers 1

IdentifierTypeStateIssuer
MT105168OtherTXSTATE ISSUED LICENSE

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
MT105168TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1396250825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 KENSINGTON LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632820",
            "telephone_number": "817-225-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 OWEN CT STE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634235",
            "telephone_number": "817-225-5431",
            "fax_number": "817-453-9780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "737 Kensington Ln",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760632820",
            "country_code": "US",
            "telephone_number": "817-225-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "CAROL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT105168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ISSUED LICENSE",
            "identifier": "MT105168",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.