Active NPI
Mauro Moromi, LMT
- Massage Therapist
- Downers Grove, IL
National Provider Identifier
1043583362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227012489
- Practice address
- 5151 Mochel Dr
Suite 200
Downers Grove, IL 60515-5076 - Phone
- (630) 324-6019
- Fax
- (630) 324-6020
- NPI assigned
- Feb 16, 2012
- Sex
- Male
- 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 | 227012489 | IL | Primary |
Addresses
Primary practice location
5151 Mochel Dr
Suite 200
Downers Grove, IL 60515-5076
Mailing address
272 E Madison St
Lombard, IL 60148-3476
Phone (630) 209-3487
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 |
|---|---|---|---|
| 227012489 | IL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remedy, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Chicago, IL
- NPI 1811133499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1043583362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 E MADISON ST",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601483476",
"telephone_number": "630-209-3487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 MOCHEL DR",
"address_2": "SUITE 200",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605155076",
"telephone_number": "630-324-6019",
"fax_number": "630-324-6020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOROMI",
"first_name": "MAURO",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-16",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227012489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.