Misty D Keim, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT107484 Issued in TX

Practice address

502 Dove Creek Dr
Round Rock, TX 78664-5920

Phone

(512) 743-6010

NPI assigned

Nov 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mystikal Motions

  • Massage Therapist
  • Round Rock, TX
  • NPI 1588049803
  NPD (past) Authorized official
• Round Rock Health & Wellness LLC

  • Clinic/Center
  • Round Rock, TX
  • NPI 1528691342
  NPD (past)

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1770128290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 DOVE CREEK DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645920",
            "telephone_number": "512-743-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 DOVE CREEK DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645920",
            "telephone_number": "512-743-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIM",
        "first_name": "MISTY",
        "middle_name": "D",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "MT107484",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "MT107484",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT107484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MystikalMotions@gmail.com",
            "affiliation": "N",
            "endpointDescription": "MystikalMotions",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Round Rock",
            "address_1": "502 Dove Creek Dr",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786645920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caitlin Keen, PA-C
• Steven Keen
• Katherine Elizabeth Keeney, LPC
• Helen Lee Keesee, COTA
• Tressie Keilman, LCSW
• Keith Chiropractic
• Keith Dennis OD PA
• William Chad Keith, DC
• David Earl Kellar, LPC
• Kellerman Chiropractic Center LLC

• Massage Therapist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.