Candida Rosa Perez Marval, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT133977 Issued in NU

Practice address

6840 Younger Dr
The Colony, TX 75056-3509

Phone

(469) 740-2626

NPI assigned

Jul 26, 2021

Last updated

Jul 26, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1538832647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 YOUNGER DR",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750563509",
            "telephone_number": "469-740-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 YOUNGER DR",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750563509",
            "telephone_number": "469-740-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ MARVAL",
        "first_name": "CANDIDA ROSA",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": "MT133977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "phoenixspabeauty@gmail.com",
            "affiliation": "N",
            "endpointDescription": "phoenixspabeauty@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6840 Younger Dr",
            "city": "The Colony",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750563509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dipesh Patel, PHARMD
• Utkarsh Patel
• Peak Physical Therapy, LLC
• Pediatric and Adult Reconstructive Center for Urology, PLLC
• Wendy Allison Pels
• Jose Jesus Perez
• Benita Peters
• Stephie Philip, SLP-A
• Pickett Medical Center P.a
• Annie Lee Pittman

• Massage Therapist in The Colony, TX
• Providers in The Colony, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.