Active NPI
Steven Dimarino, LMT
- Massage Therapist
- Los Alamos, NM
National Provider Identifier
1144731811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8820
- Practice address
- 1460 Trinity Dr Ste 2
Los Alamos, NM 87544-4107 - Phone
- (505) 412-4061
- NPI assigned
- Oct 20, 2017
- 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 | 8820 | NM | Primary |
Addresses
Primary practice location
1460 Trinity Dr Ste 2
Los Alamos, NM 87544-4107
Mailing address
231 La Cueva Rd
Glorieta, NM 87535-7004
Phone (505) 709-7033
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 |
|---|---|---|---|
| 8820 | NM | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musculoskeletal Specialists | Massage Therapist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508457600000",
"number": "1144731811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 LA CUEVA RD",
"city": "GLORIETA",
"state": "NM",
"postal_code": "875357004",
"telephone_number": "505-709-7033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 TRINITY DR STE 2",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875444107",
"telephone_number": "505-412-4061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMARINO",
"first_name": "STEVEN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-20",
"last_updated": "2017-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NM",
"license": "8820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Alamos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.