Active NPI
Mariah N Padilla, LMT
- Massage Therapist
- San Benito, TX
National Provider Identifier
1548023047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT128843
- Practice address
- 1001 N. Sam Houston Blvd
San Benito, TX 78586 - Phone
- (856) 626-1584
- NPI assigned
- Feb 6, 2024
- 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 | MT128843 | TX | Primary |
Addresses
Primary practice location
1001 N. Sam Houston Blvd
San Benito, TX 78586
Mailing address
1001 N. Sam Houston Blvd
San Benito, TX 78586
Phone (856) 626-1584
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 |
|---|---|---|---|
| MT128843 | TX | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kneaded Therapeutics | Massage Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Massage Therapist
- San Benito, TX
- NPI 1023899952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1548023047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 N. SAM HOUSTON BLVD",
"city": "SAN BENITO",
"state": "TX",
"postal_code": "78586",
"telephone_number": "856-626-1584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N. SAM HOUSTON BLVD",
"city": "SAN BENITO",
"state": "TX",
"postal_code": "78586",
"telephone_number": "856-626-1584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "MARIAH",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT128843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Benito, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.