Active NPI
Antoine Tyrone Oliver, L.M.T; REFLEXOLOGIST
- Massage Therapist
- Houston, TX
National Provider Identifier
1437520590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT122240
- Practice address
- 5539 Richmond Ave
Houston, TX 77056-6615 - Phone
- (713) 969-0743
- NPI assigned
- Oct 15, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | |||
| Specialist | 174400000X | |||
| Massage Therapist | 225700000X | MT122240 | TX | Primary |
Addresses
Primary practice location
5539 Richmond Ave
Houston, TX 77056-6615
Mailing address
21679 Horseshoe Dr
Porter, TX 77365-6499
Phone (713) 969-0743
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT122240 | Other | TX | LICENSED MASSAGE THERAPIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT122240 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1437520590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21679 HORSESHOE DR",
"city": "PORTER",
"state": "TX",
"postal_code": "773656499",
"telephone_number": "713-969-0743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5539 RICHMOND AVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770566615",
"telephone_number": "713-969-0743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "ANTOINE",
"middle_name": "TYRONE",
"credential": "L.M.T; REFLEXOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-15",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT122240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MASSAGE THERAPIST",
"identifier": "MT122240",
"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 Jan 28, 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.