Debra Colleen Phelps, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT105635 Issued in TX

Practice address

5451 Meadow Lark Dr
Bulverde, TX 78163-2317

Phone

(830) 515-9204

NPI assigned

Jul 8, 2010

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

Other names 1

• Ms. D. Ellis Phelps Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1619289592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 MEADOW LARK DR",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781632317",
            "telephone_number": "830-515-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 MEADOW LARK DR",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781632317",
            "telephone_number": "830-515-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "DEBRA",
        "middle_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT105635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "D.",
            "last_name": "PHELPS",
            "middle_name": "ELLIS",
            "prefix": "MS.",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jacalyn B Patton, M.S.P.A.
• Artrevisa Payton, LCSW
• Kristi Ellen Perkins, M.D.
• Amber Vigue Peterson, MPAS PAC
• Guy E Peterson, DDS
• McKenna Leeann Powell, M.S., CCC-SLP
• Kellie Pryor, LCMHC
• R Scott Harris
• Heather Knox Redding, MA, LPC-ASSOCIATE
• Rocky Russell Reston, M.D., PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.