Individual provider Active NPI

Kayela M Oliver-Greer

  • Massage Therapist
  • Bryan, TX
National Provider Identifier
1669754222
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT103564 Issued in TX
Practice address
3001 Wildflower Dr Ste 611
Bryan, TX 77802-3061
Phone
(979) 774-4343
NPI assigned
Sep 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT103564 TX Primary

Addresses

Primary practice location

3001 Wildflower Dr Ste 611
Bryan, TX 77802-3061

Mailing address

3001 Wildflower Dr Ste 611
Bryan, TX 77802-3061
Phone (979) 774-4343

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
MT103564TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Interest LLC Massage Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1669754222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 WILDFLOWER DR STE 611",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023061",
            "telephone_number": "979-774-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 WILDFLOWER DR STE 611",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023061",
            "telephone_number": "979-774-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER-GREER",
        "first_name": "KAYELA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT103564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.