Individual provider Active NPI

Nathan Barbosa, LMT

  • Massage Therapist
  • Dallas, TX
National Provider Identifier
1639946585
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
134304 Issued in TX
Practice address
7035 Greenville Ave Ste 101
Dallas, TX 75231-5109
Phone
(972) 295-0155
NPI assigned
Dec 11, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
Rehabilitation Practitioner 225400000X
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 134304 TX Primary

Addresses

Primary practice location

7035 Greenville Ave Ste 101
Dallas, TX 75231-5109

Mailing address

831 Philadelphia St
Fate, TX 75189-4062
Phone (214) 663-6681

Other practice location 1

831 Philadelphia St
Fate, TX 75189-4062
Phone (214) 663-6681

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
134304TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1639946585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 PHILADELPHIA ST",
            "city": "FATE",
            "state": "TX",
            "postal_code": "751894062",
            "telephone_number": "214-663-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 GREENVILLE AVE STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315109",
            "telephone_number": "972-295-0155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 Philadelphia St",
            "address_purpose": "LOCATION",
            "city": "Fate",
            "state": "TX",
            "postal_code": "751894062",
            "country_code": "US",
            "telephone_number": "214-663-6681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBOSA",
        "first_name": "NATHAN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "134304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.