Active NPI
Kenneth Brooks Jr., LMT
- Music Therapist
- Arlington, TX
National Provider Identifier
1740677905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- MT118103
- Practice address
- 501 Pecan Acres CT
Arlington, TX 76013-7100 - Phone
- (817) 703-9942
- NPI assigned
- Apr 24, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | MT118103 | TX | Primary |
Addresses
Primary practice location
501 Pecan Acres CT
Arlington, TX 76013-7100
Mailing address
501 Pecan Acres CT
Arlington, TX 76013-7100
Phone (817) 703-9942
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT118103 | TX | MD | Music Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massage & Bodyworkz of Arlington | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Massage Therapist
- Pantego, TX
- NPI 1740677046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1740677905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 PECAN ACRES CT",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760137100",
"telephone_number": "817-703-9942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 PECAN ACRES CT",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760137100",
"telephone_number": "817-703-9942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "KENNETH",
"name_suffix": "Jr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-24",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "TX",
"license": "MT118103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.