Organization Active NPI

Lynne Stiller

  • Massage Therapist
  • Austin, TX
National Provider Identifier
1669710877
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT044149 Issued in TX
Legal business name
LYNNE STILLER
Practice address
3913 Todd LN
Suite 107
Austin, TX 78744-1000
Phone
(512) 364-0897
NPI assigned
Jan 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Lynne Stiller, LMT MTINPI 1386982593
Title
Owner/ Massage Therapist
Phone
(512) 364-0897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X MT044149 TX Primary

Addresses

Primary practice location

3913 Todd LN
Suite 107
Austin, TX 78744-1000

Mailing address

3913 Todd LN
Suite 107
Austin, TX 78744-1000
Phone (512) 364-0897

Other names 1

  • Dragonfly Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

3913 Todd Ln
Ste 107
Austin, TX 78744
Phone (512) 364-0897

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1669710877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 TODD LN",
            "address_2": "SUITE 107",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787441000",
            "telephone_number": "512-364-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 TODD LN",
            "address_2": "SUITE 107",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787441000",
            "telephone_number": "512-364-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNE STILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "STILLER",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER/ MASSAGE THERAPIST",
        "authorized_official_telephone_number": "512-364-0897",
        "authorized_official_credential": "LMT MTI"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT044149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dragonfly Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.