Johnathon Melton

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

14028 N Hwy 183 Ste D120
Austin, TX 78717-5992

Phone

(512) 250-8800

NPI assigned

Sep 26, 2017

Last updated

Sep 26, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Nextgenm3 Enterpises Inc

  dba Elements Therapeutic Massage

  • Mechanotherapist
  • Austin, TX
  • NPI 1437517380

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1407365141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S LAKELINE BLVD APT 436",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133915",
            "telephone_number": "830-305-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14028 N HWY 183 STE D120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175992",
            "telephone_number": "512-250-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "JOHNATHON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "MT111929",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Melnick, LCSW
• Larisa V Melnikova, PTA
• Katherine Melo Li, PSYCHOLOGIST
• Evan Melrose, MD
• Jennifer Vane Melrose, PH.D.
• Lues J. Melton, RN
• Tiffany Carise Melton, COSMETOLOGIST/PHT
• Ethan Meltzer, M.D.
• Alma Mena
• Brianna Mena, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; 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.