Individual provider Active NPI

Wilfort Doly, LMT

  • Massage Therapist
  • Mount Dora, FL
National Provider Identifier
1114724135
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA68657 Issued in FL
Practice address
5835 Alenlon Way
Mount Dora, FL 32757-8050
Phone
(407) 403-1951
NPI assigned
Feb 26, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA68657 FL Primary

Addresses

Primary practice location

5835 Alenlon Way
Mount Dora, FL 32757-8050

Mailing address

5835 Alenlon Way
Mount Dora, FL 32757-8050
Phone (407) 403-1951

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

LicenseStateTypeSpecialty
MA68657FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cesium Massage PLLC CurrentSince Mar 11, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1114724135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 ALENLON WAY",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327578050",
            "telephone_number": "407-403-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 ALENLON WAY",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327578050",
            "telephone_number": "407-403-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLY",
        "first_name": "WILFORT",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA68657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.