Angela Perez, LMT, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

418 Aviation Blvd Ste D
Santa Rosa, CA 95403-1074

Phone

(707) 541-6258

Fax

(707) 284-0122

NPI assigned

Jul 1, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Massage for Athletes, Inc.

  • Massage Therapist
  • Santa Rosa, CA
  • NPI 1750955381

  Health Educator

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1093385916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 AVIATION BLVD STE D",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031074",
            "telephone_number": "707-541-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 AVIATION BLVD STE D",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031074",
            "telephone_number": "707-541-6258",
            "fax_number": "707-284-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ANGELA",
        "credential": "LMT, CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianna Peraza, MS
• Mayra Perez Lopez
• Cristal Lizbeth Perez Sierra
• Teresa Perez-Martinez, AMFT
• Alejandra Citlali Perez
• Bryan Perez
• Ciera Nicole Perez, AMFT
• Jesse Perez, MD
• Maritza M Perez, RN, PHN
• Paige E. Perez, P.T.

• Massage Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.