Individual provider Active NPI

Benytha Gonzalez, LMT

  • Massage Therapist
  • Brownsville, TX
National Provider Identifier
1952091670
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
106280 Issued in TX
Practice address
1273 E Alton Gloor Blvd Ste B
Brownsville, TX 78526-3919
Phone
(956) 674-3885
NPI assigned
May 8, 2023
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 106280 TX Primary

Addresses

Primary practice location

1273 E Alton Gloor Blvd Ste B
Brownsville, TX 78526-3919

Mailing address

1393 E Alton Gloor Blvd Ste 11
Brownsville, TX 78526-3402
Phone (956) 408-0248

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

LicenseStateTypeSpecialty
106280TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Attention to Detail Massage Massage Therapist CurrentSince Jun 30, 2024 Accepting new patients
Bea Clam Massage Massage Therapist CurrentSince Nov 24, 2024 Accepting new patients

Locations

1273 E Alton Gloor Blvd
Ste B
Brownsville, TX 78526
Phone (956) 621-0794

1393 E Alton Gloor Blvd
Ste 11
Brownsville, TX 78526
Phone (956) 408-0248

Organizations & group practices 2

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": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1952091670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 E ALTON GLOOR BLVD STE 11",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263402",
            "telephone_number": "956-408-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 E ALTON GLOOR BLVD STE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263919",
            "telephone_number": "956-674-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "BENYTHA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "106280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.