ADVANCED MEDICAL MASSAGE (NPI# 1790134401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790134401 |
| Entity Type | Organization |
| Organization Name | ADVANCED MEDICAL MASSAGE |
| Practice Address |
4601 Old Shepard Pl Building #4 Suite 404 Plano TX 75093-5279 |
| Practice Telephone | 2142881941 |
| Mailing Telephone | 2142881941 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |
| Authorized Official Name | JOSH LONGWORTH (MASSAGE THERAPIST/OWNER) |
| Authorized Official Telephone | 2142881941 |
| Authorized Official Credential | L.M.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT103513 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447798699 | Advanced Medical Massage | Specialist | 1112 Finnegan Way, Bellingham, WA 98225-6622 | 2017-02-08 |
| 1366792541 | Advanced Medical Massage | Massage Therapist | 1112 Finnegan Way, Bellingham, WA 98225-6622 | 2012-09-14 |
| 1144576950 | Advanced Medical Massage | Massage Therapist | 1112 Finnegan Way, Bellingham, WA 98225-6622 | 2012-07-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ADVANCED MEDICAL MASSAGE | 5319 Sw Westgate Dr Ste 145, Portland, OR 97221 |
| Colorado Business Entities | Advanced Medical Massage Associates | 545 3rd Street, Ste. 2163, Monument, CO 80132 |
| Colorado Business Entities | ADVANCED MEDICAL MASSAGE INC. | 2020 West Colorado, Hilltop Dr, Colorado Springs, CO 80904 |
| Colorado Business Entities | Advanced Medical Massage of Western Colorado, LLC | 222 S Nevada Ave, Montrose, CO 81401 |
| Street Address |
4601 OLD SHEPARD PL BUILDING #4 SUITE 404 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003884511 | Plano Neurology, Pa | Psychiatry & Neurology | 4601 Old Shepard Pl, #406, Plano, TX 75093-5279 | 2006-03-09 |
| 1649897067 | Katherine Elizabeth Heyde | Nurse Practitioner | 4601 Old Shepard Pl, Plano, TX 75093-5279 | 2020-07-01 |
| 1265951487 | Ann Mathew | Nurse Practitioner | 4601 Old Shepard Pl, Plano, TX 75093-5279 | 2017-09-19 |
| 1225476203 | Park Clinic of Manual Medicine, Inc. | Chiropractor | 4601 Old Shepard Pl, Ste 401a, Plano, TX 75093-5279 | 2013-06-12 |
| 1437408903 | Dennis Skogsbergh | Chiropractor | 4601 Old Shepard Pl, Suite 202, Plano, TX 75093-5279 | 2012-08-30 |
| 1376899427 | Robert Pine, Pllc Dba Hills and Valleys Counseling | Counselor | 4601 Old Shepard Pl, Suite 101, Plano, TX 75093-5279 | 2012-07-26 |
| 1942561832 | Robert Anthony Pine | Counselor | 4601 Old Shepard Pl, Suite 101, Plano, TX 75093-5251 | 2012-06-06 |
| 1033441134 | Plano Open Mri, Lp | Clinic/Center | 4601 Old Shepard Pl, Plano, TX 75093-5279 | 2010-02-01 |
| 1528291952 | Phyllis J. Gee M.d., P.a. | Obstetrics & Gynecology | 4601 Old Shepard Pl, Bldg 2, Suite 201, Plano, TX 75093-5279 | 2009-09-02 |
| 1093968190 | Ntpt Partners, LLC | Clinic/Center | 4601 Old Shepard Pl, Ste 202, Plano, TX 75093 | 2008-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017996 | Janet Pacheco | Massage Therapist | 3700 W 15th St Bldg B, Ste. 107b, Plano, TX 75075-4736 | 2020-09-15 |
| 1699384388 | Carol Lee Porter | Massage Therapist | 2705 Thorndale Cir, Plano, TX 75074-3177 | 2020-07-28 |
| 1558904748 | Cassandra Tantibanchachai | Massage Therapist | 9601 Custer Rd, Plano, TX 75025-7527 | 2019-10-21 |
| 1942853478 | Nooshin & Nadia LLC | Massage Therapist | 1017 N Central Expy, Plano, TX 75075-8841 | 2019-07-23 |
| 1952953184 | Nadia Yenkana- Kappus | Massage Therapist | 3400 Silverstone Dr Ste 113, Plano, TX 75023-7843 | 2019-07-09 |
| 1427614833 | Crystal Dawn Linsteadt | Massage Therapist | 3112 Landershire Ln, Plano, TX 75023-6213 | 2019-05-13 |
| 1073071213 | Josh Longworth | Massage Therapist | 4601 Old Shepard Pl Ste 404, Plano, TX 75093-5277 | 2019-03-06 |
| 1548753999 | Pierre Deantonio Robinson | Massage Therapist | 3401 Custer Rd Ste 181, Plano, TX 75023-7599 | 2018-06-11 |
| 1336649110 | Shaine Cararas | Massage Therapist | 8608 Preston Rd Ste 5, Plano, TX 75024-3316 | 2018-02-18 |
| 1124527619 | Kristina Sue Ramos | Massage Therapist | 2301 Pebble Vale Dr Apt 814, Plano, TX 75075-2564 | 2018-02-09 |
| Find all providers in PLANO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.