Individual provider Active NPI

Aurea Exposito Marrero

  • Massage Therapist
  • Riverview, FL
National Provider Identifier
1215716980
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA97613 Issued in FL
Practice address
11485 Sage Canyon Dr
Riverview, FL 33578-9321
Phone
(813) 389-6007
NPI assigned
Sep 22, 2023
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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 MA97613 FL Primary

Addresses

Primary practice location

11485 Sage Canyon Dr
Riverview, FL 33578-9321

Mailing address

11485 Sage Canyon Dr
Riverview, FL 33578-9321
Phone (813) 389-6007

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
MA97613FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1215716980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11485 SAGE CANYON DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335789321",
            "telephone_number": "813-389-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11485 SAGE CANYON DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335789321",
            "telephone_number": "813-389-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXPOSITO MARRERO",
        "first_name": "AUREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA97613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.