HANNINGTON MASSAGE, LLC (NPI# 1225450893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225450893 |
| Entity Type | Organization |
| Organization Name | HANNINGTON MASSAGE, LLC |
| Practice Address |
3212 Collinsworth St Suite 14 Fort Worth TX 76107-6580 |
| Practice Telephone | 8174059540 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |
| Authorized Official Name | CHARLES KEZENGWA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8174059540 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MT2398 | TX | Ambulatory Health Care Facilities |
| Street Address |
3212 COLLINSWORTH ST SUITE 14 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-6580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518905132 | Margaret Lipham Blakely | Counselor | 3212 Collinsworth St, Suite 101, Fort Worth, TX 76107-6580 | 2006-06-04 |
| 1477909158 | Depression Connection for Recovery | Community/Behavioral Health | 3212 Collinsworth St, Suite 3a, Fort Worth, TX 76107-6580 | 2016-05-11 |
| 1366512329 | Josephine B. Burleson | Counselor | 3212 Collinsworth St, Ste 101, Fort Worth, TX 76107-6580 | 2006-11-08 |
| 1134207640 | Lisa Anne Haram-atkinson | Counselor | 3212 Collinsworth St, Suite 5, Fort Worth, TX 76107-6580 | 2006-11-01 |
| 1346254513 | Lorraine Simon Braden | Counselor | 3212 Collinsworth St, Suite 1, Fort Worth, TX 76107-6580 | 2006-07-27 |
| 1306864566 | James Henry Landers | Counselor | 3212 Collinsworth St, Fort Worth, TX 76107-6580 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470170 | Honestar Wound Care Pllc | Clinic/Center | 7908 Modena Dr, Fort Worth, TX 76126-6144 | 2020-09-01 |
| 1730731688 | Bebd Telehealth | Clinic/Center | 2009 Tremont Ave, Fort Worth, TX 76107-3959 | 2019-07-11 |
| 1821594045 | Goshen Family Clinic, Inc. | Clinic/Center | 5225 Hunters Ridge Rd, # 715, Fort Worth, TX 76132-1853 | 2018-04-05 |
| 1629527312 | Midtown Medical Imaging - Alliance | Clinic/Center | 9557 N. Beach St., Suite 101, Fort Worth, TX 76244 | 2016-09-23 |
| 1497008411 | Dr Mark Smith Pa | Clinic/Center | 7100 Oakmont Blvd. # 108, Fort Worth, TX 76132-3908 | 2012-10-16 |
| 1033461017 | Dr. Mark Smith Pa | Clinic/Center | 7100 Oakmont Bvld Suite 108, Fort Worth, TX 76132-3908 | 2012-10-15 |
| 1407049034 | University Family Medical Clinic P.a. | Clinic/Center | 117 University Dr, Fort Worth, TX 76107-1922 | 2007-08-27 |
| 1912045279 | Hmr Management Corporation | Clinic/Center | 901 W Leuda St, Fort Worth, TX 76104-3003 | 2007-02-01 |
| 1952396004 | Motus Center, Inc. | Clinic/Center | 3857 Washburn Ave, Fort Worth, TX 76107-3954 | 2005-09-14 |
| 1326539552 | Frontier Medical House Call Service LLC | Clinic/Center | 308 Autumn Park, Fort Worth, TX 76140 | 2018-05-23 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
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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.