Organization Active NPI

Purple Light Touch Massage and Wellness LLC

  • Pain Clinic/Center
  • North Richland Hills, TX
National Provider Identifier
1679060602
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
PURPLE LIGHT TOUCH MASSAGE AND WELLNESS LLC
Doing business as
PLT Massage and Wellness
Practice address
5757 Rufe Snow Dr Ste B
North Richland Hills, TX 76180-6080
Phone
(817) 350-9457
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Authorized official

Name
Ms. Valerie Kelso, LMINPI 1174926000
Title
Ceo Founder
Phone
(817) 350-9457

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MT117848 TX
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

5757 Rufe Snow Dr Ste B
North Richland Hills, TX 76180-6080

Mailing address

5755 Rufe Snow Dr Ste 160
North Richland Hills, TX 76180-6058
Phone (817) 520-2234

Other practice location 1

5755 Rufe Snow Dr Ste 145
North Richland Hills, TX 76180-6055
Phone (817) 520-2234

Other identifiers 1

IdentifierTypeStateIssuer
1174926000.MedicaidTX

Other names 1

  • PLT Massage and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

5755 Rufe Snow Dr
Ste 160
North Richland Hills, TX 76180
Phone (817) 330-4770

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": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1679060602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 RUFE SNOW DR STE 160",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806058",
            "telephone_number": "817-520-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 RUFE SNOW DR STE B",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806080",
            "telephone_number": "817-350-9457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5755 Rufe Snow Dr Ste 145",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761806055",
            "country_code": "US",
            "telephone_number": "817-520-2234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURPLE LIGHT TOUCH MASSAGE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "KELSO",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CEO FOUNDER",
        "authorized_official_telephone_number": "817-350-9457",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMI"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "MT117848",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174926000.",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLT Massage and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PLT Massage and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.