PEACOCK HEAVENLY MASSAGE
NPI 1003295312
Massage Therapist in Port Arthur, TX

NPI Status: Active since May 20, 2015

Contact Information

3800 HWY 365
REGIONAL SQUARE
PORT ARTHUR, TX
ZIP 77642
Phone: (409) 724-7882

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  • Organization
  • Massage Therapist

About PEACOCK HEAVENLY MASSAGE

This page provides the complete NPI Profile along with additional information for Peacock Heavenly Massage, a provider established in Port Arthur, Texas operating as a Massage Therapist. The healthcare provider is registered in the NPI registry with number 1003295312 assigned on May 2015. The practitioner's primary taxonomy code is 225700000X with license number MT034536 (TX). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Lucy Mae Peacock Lmt (Lis. Massage Therapist)

NPI
1003295312
Provider Name
PEACOCK HEAVENLY MASSAGE
Entity Type
Organization
Location Address
3800 HWY 365 REGIONAL SQUARE PORT ARTHUR, TX 77642
Location Phone
(409) 724-7882
Mailing Address
3800 HWY 365, SUITE 159 PORT ARTHUR, TX 77642
Mailing Phone
(409) 724-7882
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2015
Last Update Date
05-20-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
MT034536
License State
TX
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. LUCY MAE PEACOCK LMT

Authorized Official Title
LIS. MASSAGE THERAPIST
Authorized Official Phone
(409) 724-7882

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003295312
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003491032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 4 + 9 + 1 + 0 + 3 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1003295312 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003295312, enumerated in the NPI registry as an "organization" on May 20, 2015

The provider is located at 3800 Hwy 365 Regional Square Port Arthur, Tx 77642 and the phone number is (409) 724-7882

This medical organization specializes in Massage Therapist with taxonomy code 225700000X

This NPI record was last updated on May 20, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.