Active NPI
Jessica Renee Gardner, MT
- Massage Therapist
- Killeen, TX
National Provider Identifier
1821943036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT135430
- Practice address
- 1519 Florence Rd Ste 5
Killeen, TX 76541-7904 - Phone
- (254) 300-7798
- NPI assigned
- Mar 3, 2026
- 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 | MT135430 | TX | Primary |
Addresses
Primary practice location
1519 Florence Rd Ste 5
Killeen, TX 76541-7904
Mailing address
1519 Florence Rd Ste 5
Killeen, TX 76541-7904
Phone (254) 300-7798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1519 Florence Rd
Suite 5
Killeen, TX 76541-7903
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT135430 | TX | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gardner Industries, LLC | Multi-Specialty | 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": "1772496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1821943036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 FLORENCE RD STE 5",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765417904",
"telephone_number": "254-300-7798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 FLORENCE RD STE 5",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765417904",
"telephone_number": "254-300-7798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "JESSICA",
"middle_name": "RENEE",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-03",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT135430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.