Individual provider Active NPI

Abbey G Maedgen, LMT

  • Massage Therapist
  • Pflugerville, TX
National Provider Identifier
1548909450
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT135092 Issued in TX
Practice address
305 N Heatherwilde Blvd Ste 310
Pflugerville, TX 78660-4195
Phone
(512) 704-8349
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT135092 TX Primary

Addresses

Primary practice location

305 N Heatherwilde Blvd Ste 310
Pflugerville, TX 78660-4195

Mailing address

2216 Lanier Dr
Austin, TX 78757-7739
Phone (512) 239-8011

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

LicenseStateTypeSpecialty
MT135092TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Psychology and Behavioral Health Services LLC CurrentSince Jun 5, 2022 Accepting new patients

Locations

305 N Heatherwilde Blvd
Ste 310
Pflugerville, TX 78660
Phone (512) 704-8349

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.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1548909450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 LANIER DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577739",
            "telephone_number": "512-239-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N HEATHERWILDE BLVD STE 310",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604195",
            "telephone_number": "512-704-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAEDGEN",
        "first_name": "ABBEY",
        "middle_name": "G",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT135092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.