Active NPI
Brittani Tillis
- Massage Therapist
- Dallas, TX
National Provider Identifier
1780090175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT118707
- Practice address
- 3314 W Kiest Blvd
Dallas, TX 75233-2102 - Phone
- (214) 623-0505
- NPI assigned
- Jul 7, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT118707 | TX | Primary |
Addresses
Primary practice location
3314 W Kiest Blvd
Dallas, TX 75233-2102
Mailing address
7905 Marvin D Love Fwy Apt 621
Dallas, TX 75237-3476
Phone (469) 585-6557
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 |
|---|---|---|---|
| MT118707 | TX | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Standifer Chiropractic Clinic, P.C. | 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.
-
- Chiropractor
- Dallas, TX
- NPI 1508086281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1780090175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7905 MARVIN D LOVE FWY APT 621",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373476",
"telephone_number": "469-585-6557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3314 W KIEST BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752332102",
"telephone_number": "214-623-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLIS",
"first_name": "BRITTANI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-07",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT118707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.