Super Brother LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SUPER BROTHER LLC

Doing business as

TJ Foot Spa

Practice address

5402 Broadway St Ste 122
Pearland, TX 77581-3749

Phone

(832) 672-4776

NPI assigned

Oct 21, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Lin Yuan

Title

Manager

Phone

(832) 360-5039

Specialties & licenses 4

Addresses

Other names 1

• TJ Foot Spa Doing business as

Locations

Practitioners 1

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

• Xinfeng Li

  • Massage Therapist
  • Pearland, TX
  • NPI 1265159206

  Reflexologist

  NPD

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1700503695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 BROADWAY ST STE 122",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775813749",
            "telephone_number": "832-672-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 BROADWAY ST STE 122",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775813749",
            "telephone_number": "832-672-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER BROTHER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "YUAN",
        "authorized_official_first_name": "LIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-360-5039",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TJ Foot Spa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TJ Foot Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.