Sydney Barron, LMT,MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT123314 Issued in TX

Practice address

208 N Fredonia St
Longview, TX 75601-7209

Phone

(903) 230-1911

NPI assigned

Jan 19, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clearcut Ortho, LLC

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1720565583
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1528658051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N FREDONIA ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756017209",
            "telephone_number": "903-230-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N FREDONIA ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756017209",
            "telephone_number": "903-230-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRON",
        "first_name": "SYDNEY",
        "credential": "LMT,MMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT123314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MT123314",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Daniel Barraza, O.D.
• Katherine Gabriela Barrera, MA
• Tiffany Barreto
• Douglas Barron, D.O.
• Sally Gossett Barron, LPC
• Belinda Ruth Barrow, RN
• Genie Bartlett, RN, FNP
• Catherine Ann Barton, LCSW LMFT
• Lora Barton
• Alex Charles Basdeo, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.