Active NPI
Cole Pelzer, L.M.T.
- Massage Therapist
- Bonita Springs, FL
National Provider Identifier
1275815151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 64698
- Practice address
- 24850 Old Hwy 41 Rd.
Suite 17
Bonita Springs, FL 34135 - Phone
- (239) 947-3900
- Fax
- (239) 236-0647
- NPI assigned
- Sep 15, 2011
- 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 | MA 64698 | FL | Primary |
Addresses
Primary practice location
24850 Old Hwy 41 Rd.
Suite 17
Bonita Springs, FL 34135
Mailing address
24850 Old Hwy 41 Rd.
Suite 17
Bonita Springs, FL 34135
Phone (239) 947-3900
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 |
|---|---|---|---|
| MA 64698 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1275815151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24850 OLD HWY 41 RD.",
"address_2": "SUITE 17",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "34135",
"telephone_number": "239-947-3900",
"fax_number": "239-236-0647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24850 OLD HWY 41 RD.",
"address_2": "SUITE 17",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "34135",
"telephone_number": "239-947-3900",
"fax_number": "239-236-0647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELZER",
"first_name": "COLE",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 64698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.