Active NPI
Mackeinzie Alyse Matthews
- Massage Therapist
- Beaumont, TX
National Provider Identifier
1609738392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT137584
- Practice address
- 4335 Roland Rd
Beaumont, TX 77708-3110 - Phone
- (409) 499-5518
- NPI assigned
- Dec 1, 2025
- 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 | MT137584 | TX | Primary |
Addresses
Primary practice location
4335 Roland Rd
Beaumont, TX 77708-3110
Mailing address
4335 Roland Rd
Beaumont, TX 77708-3110
Phone (409) 499-5518
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 |
|---|---|---|---|
| MT137584 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1609738392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4335 ROLAND RD",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777083110",
"telephone_number": "409-499-5518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4335 ROLAND RD",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777083110",
"telephone_number": "409-499-5518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "MACKEINZIE",
"middle_name": "ALYSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-01",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT137584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.