Active NPI
Jasmin R Burris, LMT
- Massage Therapist
- Pantego, TX
National Provider Identifier
1659066447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-120041
- Practice address
- 3630 W Pioneer Pkwy Ste 115
Pantego, TX 76013-4534 - Phone
- (972) 595-2445
- NPI assigned
- Apr 7, 2023
- Sex
- Female
- 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 | MT-120041 | TX | Primary |
Addresses
Primary practice location
3630 W Pioneer Pkwy Ste 115
Pantego, TX 76013-4534
Mailing address
508 Glenwood Dr
Lancaster, TX 75146-2133
Phone (972) 595-2445
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 |
|---|---|---|---|
| MT-120041 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1659066447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 GLENWOOD DR",
"city": "LANCASTER",
"state": "TX",
"postal_code": "751462133",
"telephone_number": "972-595-2445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 W PIONEER PKWY STE 115",
"city": "PANTEGO",
"state": "TX",
"postal_code": "760134534",
"telephone_number": "972-595-2445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRIS",
"first_name": "JASMIN",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-07",
"last_updated": "2023-04-07",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT-120041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pantego, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.