Individual provider Active NPI

Valerie Freeman Biegon, MASSAGE THERAPIST

  • Massage Therapist
  • Lake Worth, TX
National Provider Identifier
1568875706
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT114854 Issued in TX
Practice address
A la Mod Salon/ VFB-LMT
3900 Merrett Drive Suite B
Lake Worth, TX 76106
Phone
(682) 201-5330
Fax
(817) 624-2780
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X MT114854 TX
Contractor 171W00000X 171W00000X TX
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MT114854 TX Primary

Addresses

Primary practice location

A la Mod Salon/ VFB-LMT
3900 Merrett Drive Suite B
Lake Worth, TX 76106

Mailing address

2702 NW 19TH St
Fort Worth, TX 76106-5019
Phone (682) 201-5330

Other identifiers 1

IdentifierTypeStateIssuer
MT114854OtherTXMASSAGE LICENSE NUMBER WITH THE STATE

Other names 1

  • Ms. Valerie Freeman Biegon Professional name

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
171W00000XTXMDContractor
MT114854TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1568875706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 NW 19TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761065019",
            "telephone_number": "682-201-5330",
            "fax_number": "817-624-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A LA MOD SALON/ VFB-LMT",
            "address_2": "3900 MERRETT DRIVE SUITE B",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "76106",
            "telephone_number": "682-201-5330",
            "fax_number": "817-624-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEGON",
        "first_name": "VALERIE",
        "middle_name": "FREEMAN",
        "name_prefix": "Ms.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "MT114854",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "171W00000X",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT114854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE NUMBER WITH THE STATE",
            "identifier": "MT114854",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "BIEGON",
            "middle_name": "FREEMAN",
            "prefix": "MS.",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lake Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.