Active NPI
Laura Michelle Privett, LMT
- Massage Therapist
- Carthage, TX
National Provider Identifier
1437768629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT126017
- Practice address
- 117 W Sabine St
Carthage, TX 75633-2609 - Phone
- (903) 263-8017
- NPI assigned
- Jul 23, 2020
- Last updated
- Jul 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT126017 | TX | Primary |
Addresses
Primary practice location
117 W Sabine St
Carthage, TX 75633-2609
Mailing address
3455 FM 699
Carthage, TX 75633-4713
Phone (903) 263-8017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT126017 | Other | TX | TDLR MASSAGE THERAPY |
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 |
|---|---|---|---|
| MT126017 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1437768629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3455 FM 699",
"city": "CARTHAGE",
"state": "TX",
"postal_code": "756334713",
"telephone_number": "903-263-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 W SABINE ST",
"city": "CARTHAGE",
"state": "TX",
"postal_code": "756332609",
"telephone_number": "903-263-8017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIVETT",
"first_name": "LAURA",
"middle_name": "MICHELLE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-23",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT126017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TDLR MASSAGE THERAPY",
"identifier": "MT126017",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carthage, TX
- Jim Jason Phillips, MD
- Shannon E Phillips Jr., N.P.
- Premise Health of Texas Medical PA (LP-Carthage)
- Premise Health of Texas Medical, P.a (CareHere A Premise Health company eHealth Center- Carthage)
- Joyce Printers
- QV Urgent Care TX PLLC (QuickVisit Urgent Care)
- Vidyasagar Gurram Reddy
- Renal Care Group Texas, Inc. (Carthage Dialysis Center)
- Tawhanna Faye Rice
- Robert G Callahan MD PMC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.