Active NPI
Marie Elena Bumpass, LMT
- Massage Therapist
- San Antonio, TX
National Provider Identifier
1760699466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT007570
- Practice address
- 4319 Medical Dr
Ste 210a
San Antonio, TX 78229-3381 - Phone
- (210) 615-0270
- Fax
- (210) 615-0278
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT007570 | TX | Primary |
Addresses
Primary practice location
4319 Medical Dr
Ste 210a
San Antonio, TX 78229-3381
Mailing address
7106 Northern Lights St
Lot 109-12
San Antonio, TX 78238-1221
Phone (210) 680-8285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT007570 | Other | TX | MASSAGE THERAPIST |
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 |
|---|---|---|---|
| MT007570 | TX | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeboc Inc | Massage Therapist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760699466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7106 NORTHERN LIGHTS ST",
"address_2": "LOT 109-12",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782381221",
"telephone_number": "210-680-8285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4319 MEDICAL DR",
"address_2": "STE 210A",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293381",
"telephone_number": "210-615-0270",
"fax_number": "210-615-0278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUMPASS",
"first_name": "MARIE",
"middle_name": "ELENA",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT007570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST",
"identifier": "MT007570",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.