Active NPI
Lisa M Olivero
- Massage Therapist
- Ormond Beach, FL
National Provider Identifier
1003803750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA-31267
- Practice address
- 2 Marjorie TRL
Ormond Beach, FL 32174-8501 - Phone
- (386) 673-7904
- Fax
- (386) 673-7904
- NPI assigned
- Sep 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA-31267 | FL | Primary |
Addresses
Primary practice location
2 Marjorie TRL
Ormond Beach, FL 32174-8501
Mailing address
2 Marjorie TRL
Ormond Beach, FL 32174-8501
Phone (386) 673-7904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2727 | Other | FL | BCBS - MASSAGE THERAPY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA-31267 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1003803750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MARJORIE TRL",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321748501",
"telephone_number": "386-673-7904",
"fax_number": "386-673-7904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MARJORIE TRL",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321748501",
"telephone_number": "386-673-7904",
"fax_number": "386-673-7904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERO",
"first_name": "LISA",
"middle_name": "M",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA-31267",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - MASSAGE THERAPY",
"identifier": "C2727",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.