Active NPI
Charles Lawrence Jones III, LMT
- Massage Therapist
- Glenn Heights, TX
National Provider Identifier
1518555929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT134085
- Practice address
- 1413 Bricknell Dr
Glenn Heights, TX 75154 - Phone
- (817) 437-6692
- NPI assigned
- Jan 2, 2021
- Last updated
- Jan 2, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT134085 | TX | Primary |
Addresses
Primary practice location
1413 Bricknell Dr
Glenn Heights, TX 75154
Mailing address
1413 Bricknell Dr
Glenn Heights, TX 75154
Phone (817) 437-6692
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 |
|---|---|---|---|
| MT134085 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609545600000",
"number": "1518555929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1413 BRICKNELL DR",
"city": "GLENN HEIGHTS",
"state": "TX",
"postal_code": "75154",
"telephone_number": "817-437-6692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1413 BRICKNELL DR",
"city": "GLENN HEIGHTS",
"state": "TX",
"postal_code": "75154",
"telephone_number": "817-437-6692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CHARLES",
"middle_name": "LAWRENCE",
"name_suffix": "III",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-02",
"last_updated": "2021-01-02",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT134085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenn Heights, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.