Individual provider Active NPI

Heather Karina Loyo, PH.D., MBA, RMT

  • Massage Therapist
  • Georgetown, TX
National Provider Identifier
1912274648
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT011711 Issued in TX
Practice address
501 S Austin Ave
Building 2 Suite 202
Georgetown, TX 78626-5637
Phone
(512) 686-1107
NPI assigned
Nov 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT011711 TX Primary
Health Educator 174H00000X

Addresses

Primary practice location

501 S Austin Ave
Building 2 Suite 202
Georgetown, TX 78626-5637

Mailing address

501 S Austin Ave
Building 2 Suite 202
Georgetown, TX 78626-5637
Phone (512) 686-1107

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
Credentials
Master of Business Administration, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MT011711TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mibohe Wellness Incorporated Health Educator 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": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1912274648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S AUSTIN AVE",
            "address_2": "BUILDING 2 SUITE 202",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265637",
            "telephone_number": "512-686-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S AUSTIN AVE",
            "address_2": "BUILDING 2 SUITE 202",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265637",
            "telephone_number": "512-686-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOYO",
        "first_name": "HEATHER",
        "middle_name": "KARINA",
        "name_prefix": "Dr.",
        "credential": "PH.D., MBA, RMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT011711",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.