Lydia Kristina Sears

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT100639 Issued in TX

Practice address

15260 Highway 105 W
Suite 125
Montgomery, TX 77356-5259

Phone

(936) 570-6060

NPI assigned

Oct 29, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1487980207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10719 SCENIC DR",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565731",
            "telephone_number": "936-537-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15260 HIGHWAY 105 W",
            "address_2": "SUITE 125",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565259",
            "telephone_number": "936-570-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARS",
        "first_name": "LYDIA",
        "middle_name": "KRISTINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT100639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Rochelle Schultz, RN-CPNP
• Francis Dean Schwartz II, D.C.
• Scott & Kelly Conroe
• Scott Dental Consultants PLLC
• Brooke Marie Scott, M.S. CCC-SLP
• Carrie E Self, PT
• Ginger A Sellars, DPM
• Senior House Call Physicians of Texas, PLLC
• Seven Pines Homecare LLC
• Gary Neal Sharpless, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.