Active NPI
Neethu Saju
- Massage Therapist
- Coppell, TX
National Provider Identifier
1831606912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT127731
- Practice address
- 120 S Denton Tap Rd Ste 290
Coppell, TX 75019-5044 - Phone
- (792) 798-8584
- NPI assigned
- Jan 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | |||
| Massage Therapist | 225700000X | MT127731 | TX | Primary |
Addresses
Primary practice location
120 S Denton Tap Rd Ste 290
Coppell, TX 75019-5044
Mailing address
120 S Denton Tap Rd Ste 290
Coppell, TX 75019-5044
Phone (792) 798-8584
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 |
|---|---|---|---|
| MT127731 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1831606912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 S DENTON TAP RD STE 290",
"city": "COPPELL",
"state": "TX",
"postal_code": "750195044",
"telephone_number": "792-798-8584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S DENTON TAP RD STE 290",
"city": "COPPELL",
"state": "TX",
"postal_code": "750195044",
"telephone_number": "792-798-8584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAJU",
"first_name": "NEETHU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-10",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT127731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.