Active NPI
Kyle Thomas Cavaretta, LMT
- Massage Therapist
- Mandeville, LA
National Provider Identifier
1205340635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- LA8016
- Practice address
- 221 Saint Ann Dr Ste 2
Mandeville, LA 70471-3474 - Phone
- (985) 624-9888
- Fax
- (985) 624-2572
- NPI assigned
- Nov 21, 2017
- 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 | LA8016 | LA | Primary |
Addresses
Primary practice location
221 Saint Ann Dr Ste 2
Mandeville, LA 70471-3474
Mailing address
221 Saint Ann Dr Ste 2
Mandeville, LA 70471-3474
Phone (985) 624-9888
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 |
|---|---|---|---|
| LA8016 | LA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Health Chiropractic Center, LLC | Single Specialty | Past | Accepting new patients |
| Bart Sellers,D.C., L.L.C. | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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": "1511222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511222400000",
"number": "1205340635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 SAINT ANN DR STE 2",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704713474",
"telephone_number": "985-624-9888",
"fax_number": "985-624-2572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 SAINT ANN DR STE 2",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704713474",
"telephone_number": "985-624-9888",
"fax_number": "985-624-2572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVARETTA",
"first_name": "KYLE",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-21",
"last_updated": "2017-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "LA",
"license": "LA8016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.