Active NPI
Michael Spencer Lewis, LMT
- Massage Therapist
- Dallas, TX
National Provider Identifier
1861040545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT104409
- Practice address
- 9319 LBJ Fwy Ste 208C
Dallas, TX 75243-3453 - Phone
- (469) 476-2423
- NPI assigned
- Aug 27, 2019
- Last updated
- Aug 27, 2019
- Sex
- Male
- Sole proprietor
- No
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 | MT104409 | TX | Primary |
Addresses
Primary practice location
9319 LBJ Fwy Ste 208C
Dallas, TX 75243-3453
Mailing address
930 E 15TH St Apt 435
Plano, TX 75074-5873
Phone (903) 372-1089
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | www.massagebook.com | ||
| SOAP URL | www.massagebook.com | ||
| SOAP URL | www.massagebook.com |
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 |
|---|---|---|---|
| MT104409 | TX | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sus-Spencer Enterprises LLC | Massage Therapist | Current | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/22525/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1861040545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 E 15TH ST APT 435",
"city": "PLANO",
"state": "TX",
"postal_code": "750745873",
"telephone_number": "903-372-1089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9319 LBJ FWY STE 208C",
"city": "DALLAS",
"state": "TX",
"postal_code": "752433453",
"telephone_number": "469-476-2423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MICHAEL",
"middle_name": "SPENCER",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-27",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT104409",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "www.massagebook.com",
"affiliation": "N",
"address_1": "9319 Lbj Fwy Ste 208C",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752433453",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "www.massagebook.com",
"affiliation": "N",
"address_1": "9319 Lbj Fwy Ste 208C",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752433453",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "www.massagebook.com",
"affiliation": "N",
"address_1": "9319 Lbj Fwy Ste 208C",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752433453",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.