Individual provider Active NPI

Monique Zamora

  • Massage Therapist
  • Shenandoah, TX
National Provider Identifier
1578959367
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
116437 Issued in TX
Practice address
385 N Centro Cir # a
Shenandoah, TX 77385-5611
Phone
(214) 980-4687
NPI assigned
Apr 8, 2015
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 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 116437 TX Primary

Addresses

Primary practice location

385 N Centro Cir # a
Shenandoah, TX 77385-5611

Mailing address

385 N Centro Cir # a
Conroe, TX 77385-5611
Phone (214) 980-4687

Other practice location 1

4230 Lyndon B Johnson Fwy
103
Dallas, TX 75244-5806
Phone (469) 888-1072

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
116437TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cupped Clinic Massage Therapist CurrentSince Aug 7, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1578959367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 N CENTRO CIR # A",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773855611",
            "telephone_number": "214-980-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 N CENTRO CIR # A",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773855611",
            "telephone_number": "214-980-4687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4230 Lyndon B Johnson Fwy",
            "address_2": "103",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752445806",
            "country_code": "US",
            "telephone_number": "469-888-1072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "116437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.