The Muscle Therapy Clinic

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MT025368 Issued in TX

Legal business name

THE MUSCLE THERAPY CLINIC

Practice address

2220 Coit Rd Ste 510
Plano, TX 75075-3783

Phone

(972) 769-0945

Fax

(972) 398-3299

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Floyd Malcolm Lightsey

Title

Office Manager

Phone

(972) 769-0945

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mirtha Patricia Lightsey Other name

Locations

Practitioners 1

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

• Mirtha Patricia Lightsey, LMT, RMT

  • Massage Therapist
  • Plano, TX
  • NPI 1821015736
  NPD (past)

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1689849978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 COIT RD STE 510",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753783",
            "telephone_number": "972-769-0945",
            "fax_number": "972-398-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 COIT RD STE 510",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753783",
            "telephone_number": "972-769-0945",
            "fax_number": "972-398-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MUSCLE THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "LIGHTSEY",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_middle_name": "MALCOLM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-769-0945",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7902",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "TX",
            "license": "MT025368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821015736",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073504387",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mirtha Patricia Lightsey",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mechanotherapist in Plano, TX
• Providers in Plano, TX by specialty
• Mechanotherapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.