Active NPI
Marie Anderson Sell, BS, MT, MI, CLT
- Massage Therapist
- Nacogdoches, TX
National Provider Identifier
1942373162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT011782
- Practice address
- 4606 Lady Jennifer Dr
Nacogdoches, TX 75965-0988 - Phone
- (936) 564-1900
- Fax
- (866) 643-7117
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT011782 | TX | Primary |
| Massage Therapist | 225700000X | MI01932 | TX | |
| Massage Therapist | 225700000X | 14840 CLT | TX |
Addresses
Primary practice location
4606 Lady Jennifer Dr
Nacogdoches, TX 75965-0988
Mailing address
4606 Lady Jennifer Dr
Nacogdoches, TX 75965-0988
Phone (936) 564-1900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI01932 | Other | TX | LMT INSTRUCTOR |
| 14840 | Other | TX | CLT-NLN MEMBER |
| MT011782 | Other | TX | LICENSED MASSAGE THERAPIS |
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
- Bachelor of Science, Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14840 CLT | TX | MD | Massage Therapist |
| MI01932 | TX | MD | Massage Therapist |
| MT011782 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942373162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4606 LADY JENNIFER DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759650988",
"telephone_number": "936-564-1900",
"fax_number": "866-643-7117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4606 LADY JENNIFER DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759650988",
"telephone_number": "936-564-1900",
"fax_number": "866-643-7117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELL",
"first_name": "MARIE",
"middle_name": "ANDERSON",
"name_prefix": "Mrs.",
"credential": "BS, MT, MI, CLT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT011782",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MI01932",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "14840 CLT",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMT INSTRUCTOR",
"identifier": "MI01932",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLT-NLN MEMBER",
"identifier": "14840",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MASSAGE THERAPIS",
"identifier": "MT011782",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.