Active NPI
Kimberly M Villarreal, LMT
- Massage Therapist
- San Antonio, TX
National Provider Identifier
1508145350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT113452
- Practice address
- 6222 De Zavala Rd
Ste 204
San Antonio, TX 78249 - Phone
- (210) 875-7151
- Fax
- (210) 641-8324
- NPI assigned
- Aug 10, 2011
- Sex
- Female
- Sole proprietor
- No
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 | MT113452 | TX | Primary |
Addresses
Primary practice location
6222 De Zavala Rd
Ste 204
San Antonio, TX 78249
Mailing address
7835 Clipper Pass
San Antonio, TX 78254
Phone (210) 875-7151
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 |
|---|---|---|---|
| MT113452 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1508145350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7835 CLIPPER PASS",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78254",
"telephone_number": "210-875-7151",
"fax_number": "210-641-8324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6222 DE ZAVALA RD",
"address_2": "STE 204",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78249",
"telephone_number": "210-875-7151",
"fax_number": "210-641-8324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL",
"first_name": "KIMBERLY",
"middle_name": "M",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-10",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT113452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.