Active NPI
Sandro Mateo Alvarez, LMT
- Massage Therapist
- Portland, OR
National Provider Identifier
1225866098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 24926
- Practice address
- 11786 NW Cedar Falls Dr Ste 220
Portland, OR 97229-2787 - Phone
- (503) 530-8839
- NPI assigned
- Jul 23, 2024
- Last updated
- Jul 23, 2024
- 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 | 24926 | OR | Primary |
Addresses
Primary practice location
11786 NW Cedar Falls Dr Ste 220
Portland, OR 97229-2787
Mailing address
1624 SE 32ND PL
Portland, OR 97214-5015
Phone (971) 227-8374
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 |
|---|---|---|---|
| 24926 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Bodywork LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1225866098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 SE 32ND PL",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972145015",
"telephone_number": "971-227-8374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11786 NW CEDAR FALLS DR STE 220",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972292787",
"telephone_number": "503-530-8839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "SANDRO",
"middle_name": "MATEO",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-23",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "24926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.