Anselmo Ignacio Reyes, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA69614 Issued in FL

Practice address

9409 US Highway 19
Space 423
Port Richey, FL 34668-4625

Phone

(727) 597-8479

Fax

(727) 597-8434

NPI assigned

Oct 24, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1174074306",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "9409 US HIGHWAY 19",
            "address_2": "SPACE 423",
            "city": "HUDSON",
            "state": "PASCO",
            "postal_code": "34668",
            "telephone_number": "727-597-8479",
            "fax_number": "727-597-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9409 US HIGHWAY 19",
            "address_2": "SPACE 423",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684625",
            "telephone_number": "727-597-8479",
            "fax_number": "727-597-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ANSELMO",
        "middle_name": "IGNACIO",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA69614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaimee Lynn Ray
• Lydia Suzanne Ray, BA
• Raymond J McGeehan D C P a
• Rehab Action, Inc.
• Michelle Retsky
• Asontasia Reynolds
• Ricx Investment Corp
• Kimberly Ann Riley-Brown, RN BS
• Shannon Riley
• Henry R. Rivera Jr., ACNP, AOCNP

• Massage Therapist in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.