Individual provider Active NPI

David Noguera, LMT

  • Massage Therapist
  • Orlando, FL
National Provider Identifier
1245486554
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 34810 Issued in FL
Practice address
5555 E Michigan St
Suite 102
Orlando, FL 32822-2700
Phone
(407) 275-9334
Fax
(407) 275-9395
NPI assigned
Aug 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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 MA 34810 FL Primary

Addresses

Primary practice location

5555 E Michigan St
Suite 102
Orlando, FL 32822-2700

Mailing address

5555 E Michigan St
Suite 102
Orlando, FL 32822-2700
Phone (407) 275-9334

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
MA 34810FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Injury East, Inc 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": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1245486554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 E MICHIGAN ST",
            "address_2": "SUITE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222700",
            "telephone_number": "407-275-9334",
            "fax_number": "407-275-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 E MICHIGAN ST",
            "address_2": "SUITE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222700",
            "telephone_number": "407-275-9334",
            "fax_number": "407-275-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOGUERA",
        "first_name": "DAVID",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 34810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.