John Martin Oldmixon, LMT, BCTMB

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT132768 Issued in TX

Practice address

1919 North Loop W Ste 445
Houston, TX 77008-1363

Phone

(832) 703-8787

NPI assigned

Apr 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1396365961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W 34TH ST UNIT 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770186264",
            "telephone_number": "512-636-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 NORTH LOOP W STE 445",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081363",
            "telephone_number": "832-703-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 Chippendale Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770185257",
            "country_code": "US",
            "telephone_number": "512-636-5953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLDMIXON",
        "first_name": "JOHN",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "LMT, BCTMB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT132768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBTMB",
            "identifier": "2000268",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDLR",
            "identifier": "MT132768",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Modinat Labake Olayiwola, NP
• Old Spanish Trail Emergency Physicians,PLLC
• John M Oldham, MD
• Mikayla Oldham, PT, DPT
• Sandra A Oldham, M.D.
• Lindsey Rose Oleary, DO
• Nicholas Charles Oleck
• Isioma Oleleh, OTR/L
• Frances Olufunmilayo Olemoh
• Jonathon Bryce-Edward Olenczak, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.