Active NPI
Jordan Kyle Johns
- Massage Therapist
- Houston, TX
National Provider Identifier
1861137887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT134775
- Practice address
- 2121 Mid LN Apt 254
Houston, TX 77027-3859 - Phone
- (281) 624-8412
- NPI assigned
- May 3, 2022
- Last updated
- May 3, 2022
- Sex
- Male
- 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 | MT134775 | TX | Primary |
Addresses
Primary practice location
2121 Mid LN Apt 254
Houston, TX 77027-3859
Mailing address
2121 Mid LN Apt 254
Houston, TX 77027-3859
Phone (281) 624-8412
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 |
|---|---|---|---|
| MT134775 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1861137887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 MID LN APT 254",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770273859",
"telephone_number": "281-624-8412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 MID LN APT 254",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770273859",
"telephone_number": "281-624-8412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNS",
"first_name": "JORDAN",
"middle_name": "KYLE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-03",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT134775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Johnell Fernandez (Endless Opportunities)
- Johnell Fernandez (Endless Opportunities)
- Johnny Nguyen DDS PA
- Johnny Ogletree (Select Quality care HCS)
- Andrew Johns, MD
- Johnson & Daughters, Inc. (Liberty Community Health Center)
- Johnson ABA, LLC (Success on the Spectrum)
- Johnson and Brooks Community Care Inc
- Johnson Behavioral Consulting
- Johnson Medical Group PLLC (Campbell Medical Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.