NPIMap

Organization Active NPI

Advanced Medical Massage

  • Massage Therapist
  • Plano, TX
National Provider Identifier
1790134401
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT103513 Issued in TX
Legal business name
ADVANCED MEDICAL MASSAGE
Practice address
4601 Old Shepard PL
Building #4 Suite 404
Plano, TX 75093-5279
Phone
(214) 288-1941
NPI assigned
Jun 3, 2016
Last updated
Jun 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Josh Longworth, L.M.T.
Title
Massage Therapist/Owner
Phone
(214) 288-1941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT103513 TX Primary

Addresses

Primary practice location

4601 Old Shepard PL
Building #4 Suite 404
Plano, TX 75093-5279

Mailing address

4601 Old Shepard PL
Building #4 Suite 404
Plano, TX 75093-5279
Phone (214) 288-1941

National Provider Directory

National Provider Directory

Locations

4601 Old Shepard Pl
Ste 404
Plano, TX 75093
Phone (214) 288-1941

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1790134401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 OLD SHEPARD PL",
            "address_2": "BUILDING #4 SUITE 404",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935279",
            "telephone_number": "214-288-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 OLD SHEPARD PL",
            "address_2": "BUILDING #4 SUITE 404",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935279",
            "telephone_number": "214-288-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "LONGWORTH",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "MASSAGE THERAPIST/OWNER",
        "authorized_official_telephone_number": "214-288-1941",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT103513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.