Brenda Wakefield, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT110561 Issued in TX

Practice address

665 W LBJ Fwy
Irving, TX 75063-3712

Phone

(214) 380-9700

NPI assigned

Oct 22, 2009

Last updated

Apr 2, 2013By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hands of Choice Massage & Wellness, LLC

  • Massage Therapist
  • Irving, TX
  • NPI 1861838013
  NPD (past) Authorized official

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1609102862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 MARCHANT LN",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634503",
            "telephone_number": "937-620-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 W LBJ FWY",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633712",
            "telephone_number": "214-380-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "BRENDA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT110561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Paula Wagner, MSPT, PCS
• Joni Lynne Wagner, COTA
• Terra Wagner, PHD, LPC-S
• Keith A Waguespack, MD
• Morgan Waits
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0880)
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-2649)
• Wal-Mart Stores Texas, LP (Vision Center 30-0880)
• Wal-Mart Stores Texas, LP (Vision Center 30-2649)
• Walgreen Co (Walgreens #03921)

• Massage Therapist in Irving, TX
• Providers in Irving, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.