Active NPI
Anibal Orecchio, LMT
- Massage Therapist
- Longmont, CO
National Provider Identifier
1114631793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT0024490
- Practice address
- 1432 Northwestern Rd
Longmont, CO 80503-2223 - Phone
- (303) 562-4963
- NPI assigned
- Jan 9, 2023
- Last updated
- Jan 9, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | MT0024490 | CO | Primary |
Addresses
Primary practice location
1432 Northwestern Rd
Longmont, CO 80503-2223
Mailing address
1432 Northwestern Rd
Longmont, CO 80503-2223
Phone (303) 562-4963
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 |
|---|---|---|---|
| MT0024490 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1114631793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 NORTHWESTERN RD",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805032223",
"telephone_number": "303-562-4963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 NORTHWESTERN RD",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805032223",
"telephone_number": "303-562-4963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORECCHIO",
"first_name": "ANIBAL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT0024490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
- Katherine K Olson, PA
- Optometric Associates PC (Eagle Vision & Eye Clinic PC)
- Optumcare Colorado Medical Group LLC (Colorado Center for Arthritis and Osteoporosis)
- Yaira Oquendo-Figueroa, PHD
- Oral and Maxillofacial Surgery of Longmont LLC
- Patrica A Oreilly, LSW
- Laura Orozco, PHARMD
- Andrea Orrison, M.A.
- Amanda Ortega, LMFT
- Orthopaedic & Spine Center of the Rockies PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.