Individual provider Active NPI

Rita S. Olufowoshe, M.M.P

  • Massage Therapist
  • Houston, TX
National Provider Identifier
1407184971
Registry record updated Sep 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT104006 Issued in TX
Practice address
950 Threadneedle St Ste 145
Houston, TX 77079-2910
Phone
(281) 496-3772
NPI assigned
Nov 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2023

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 MT104006 TX Primary

Addresses

Primary practice location

950 Threadneedle St Ste 145
Houston, TX 77079-2910

Mailing address

5306 Sundown Canyon CT
Katy, TX 77494-2488
Phone (281) 496-3772

Other identifiers 1

IdentifierTypeStateIssuer
MT104006OtherTXTEXAS DEPARTMENT OF STATE HEALTH SERVICES

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT104006TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Aesthetics and Wellness Spa Massage Therapist CurrentSince Sep 10, 2023 Accepting new patients

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": "1258761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693699200000",
    "number": "1407184971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 SUNDOWN CANYON CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942488",
            "telephone_number": "281-496-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 THREADNEEDLE ST STE 145",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792910",
            "telephone_number": "281-496-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUFOWOSHE",
        "first_name": "RITA",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "M.M.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-21",
        "last_updated": "2023-09-03",
        "certification_date": "2023-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT104006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES",
            "identifier": "MT104006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2023; 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.