Active NPI
Vincent Alexander Farfan, LMT
- Massage Therapist
- Arlington, TX
National Provider Identifier
1619729084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT139118
- Practice address
- 820 Station Dr Ste 106
Arlington, TX 76015-1627 - Phone
- (817) 231-1304
- NPI assigned
- Apr 1, 2024
- Last updated
- Apr 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | MT139118 | TX | Primary |
Addresses
Primary practice location
820 Station Dr Ste 106
Arlington, TX 76015-1627
Mailing address
2300 Christine Ave
Fort Worth, TX 76105-3018
Phone (817) 231-1304
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 |
|---|---|---|---|
| MT139118 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1619729084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 CHRISTINE AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761053018",
"telephone_number": "817-231-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 STATION DR STE 106",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760151627",
"telephone_number": "817-231-1304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARFAN",
"first_name": "VINCENT",
"middle_name": "ALEXANDER",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-01",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT139118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
- Xiao-En Fang, M.D.
- Fannin County Hospital Authority (Interlochen Health and Rehabiltation Center)
- Gedamneh Fantaye, MD
- Moza Shwaib Faraji, MSN, APRN, FNP-BC
- Lauren Elizabeth Farbiak, PA-C
- Alma Lisset Farias
- Farley W Brown (1St Choice Healthcare)
- Farley W. Brown, DC, Aprn, FNP-C, PC
- Rachel Farley
- Christene Farmer, LSA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.