Individual provider Active NPI

Danelis Otero, MT

  • Massage Therapist
  • Katy, TX
National Provider Identifier
1710630827
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT120918 Issued in TX
Practice address
1808 Snake River Rd Ste D
Katy, TX 77449-7746
Phone
(346) 546-9653
Fax
(832) 626-3627
NPI assigned
Jan 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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 MT120918 TX Primary

Addresses

Primary practice location

1808 Snake River Rd Ste D
Katy, TX 77449-7746

Mailing address

1808 Snake River Rd Ste D
Katy, TX 77449-7746
Phone (863) 812-6228

Other practice location 1

11500 Northwest Fwy Ste 280
Houston, TX 77092-6521
Phone (863) 812-6228

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MT120918TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therassage MD, PLLC Massage Therapist CurrentSince Jan 1, 2023 Accepting new patients
Therassage Medical Solution Massage Therapist CurrentSince Feb 1, 2022 Accepting new patients

Locations

1808 Snake River Rd
Ste D
Katy, TX 77449
Phone (346) 546-9653

1806 Snake River Rd
Ste B
Katy, TX 77449
Phone (346) 810-1144

1822 Snake River Rd
Ste E
Katy, TX 77449
Phone (281) 435-2411

1830 Snake River Rd
Ste D
Katy, TX 77449
Phone (863) 812-6228

Organizations & group practices 2

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": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1710630827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 SNAKE RIVER RD STE D",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497746",
            "telephone_number": "863-812-6228",
            "fax_number": "832-626-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 SNAKE RIVER RD STE D",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497746",
            "telephone_number": "346-546-9653",
            "fax_number": "832-626-3627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11500 Northwest Fwy Ste 280",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770926521",
            "country_code": "US",
            "telephone_number": "863-812-6228",
            "fax_number": "832-626-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTERO",
        "first_name": "DANELIS",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT120918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.