Michael Spencer Lewis, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT104409 Issued in TX

Practice address

9319 LBJ Fwy Ste 208C
Dallas, TX 75243-3453

Phone

(469) 476-2423

NPI assigned

Aug 27, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22525/brand/1/csg/1/fhir/r4

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.

• Sus-Spencer Enterprises LLC

  • Massage Therapist
  • Dallas, TX
  • NPI 1003463860
  NPD

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "MT104409",
            "state": "TX"
        }
    ],
    "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": []
}

• Laricka Renee Lewis
• Leslie Stinson Lewis, DNP, APRN, CPNP-AC
• Lorraine Christal Lewis, LMSW
• Madison Claire Lewis, PA-C
• Meosha S Lewis
• Monica Nichole Lewis, P.T.
• Natashea Lewis, WHNP-BC
• Patricia Elizabeth Lewis, CSFA
• Paula R Lewis, DO
• Quentin Lewis, PHARMD

• Massage Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Massage Therapist in Texas

• 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.

Verify at the official NPI Registry.