Individual provider Active NPI

Timothy Flint II, MASSAGE THERAPIST

  • Massage Therapist
  • Lewisville, TX
National Provider Identifier
1801334768
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT041616 Issued in TX
Practice address
797 S Old Orchard LN
Apt 2029
Lewisville, TX 75067-4396
Phone
(469) 834-1926
NPI assigned
Feb 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT041616 TX Primary

Addresses

Primary practice location

797 S Old Orchard LN
Apt 2029
Lewisville, TX 75067-4396

Mailing address

522 S Edmonds LN
Suite 204
Lewisville, TX 75067-3524
Phone (469) 834-1926

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

LicenseStateTypeSpecialty
MT041616TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1801334768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 S EDMONDS LN",
            "address_2": "SUITE 204",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673524",
            "telephone_number": "469-834-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 S OLD ORCHARD LN",
            "address_2": "APT 2029",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674396",
            "telephone_number": "469-834-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINT",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT041616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.