Brenda Gomez, LMT, LVN

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT136395 Issued in TX

Practice address

305 N Heatherwilde Blvd Ste 140
Pflugerville, TX 78660-4190

Phone

(310) 795-4965

NPI assigned

Mar 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Brenda Gomez Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Breath of Life Massage, LLC

  • Massage Therapist
  • Pflugerville, TX
  • NPI 1326797887
  NPD Authorized official

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1689323644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20201 GREAT EGRET LN",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786601928",
            "telephone_number": "310-795-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N HEATHERWILDE BLVD STE 140",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604190",
            "telephone_number": "310-795-4965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20201 Great Egret Ln",
            "address_purpose": "LOCATION",
            "city": "Pflugerville",
            "state": "TX",
            "postal_code": "786601928",
            "country_code": "US",
            "telephone_number": "310-795-4965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "BRENDA",
        "credential": "LMT, LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT136395",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "337513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@breathoflifemassagepf.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "305 N Heatherwilde Blvd Ste 140",
            "city": "Pflugerville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786604190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "GOMEZ",
            "credential": "LMT, LVN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Massage Therapist in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.