Active NPI
Healthy Lifestyles Consultants LLC
Doing business as AZ Sports Therapy
- Point of Service
- Yuma, AZ
National Provider Identifier
1295254472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- Legal business name
- HEALTHY LIFESTYLES CONSULTANTS LLC
- Doing business as
- AZ Sports Therapy
- Practice address
- 3105 S 4TH Ave
Yuma, AZ 85364-8122 - Phone
- (702) 481-8168
- NPI assigned
- Sep 19, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Galaviz, CMA LCMT
- Title
- Owner/ Therapist
- Phone
- (702) 481-8168
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | AZ | ||
| Health Service Clinic/Center | 261QH0100X | |||
| Rehabilitation Clinic/Center | 261QR0400X | AZ | ||
| Point of Service | 305S00000X | AZ | Primary |
Addresses
Primary practice location
3105 S 4TH Ave
Yuma, AZ 85364-8122
Mailing address
3128 S Brand Lee Way
Yuma, AZ 85365-5110
Phone (702) 481-8168
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 707134 | Other | IL | NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK |
| MT-19507 | Other | AZ | ARIZONA STATE BOARD OF MASSAGE THERAPY |
| 339090 | Other | CO | ASSOCIATED BODYWORK & MASSAGE PROFESSIONALS |
| 336580 | Other | IL | AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS |
Other names 1
- AZ Sports Therapy
National Provider Directory
National Provider DirectoryLocations
7900 E Eagle Crest Dr
Mesa, AZ 85207
3105 S 4th Ave
Yuma, AZ 85364
Phone (702) 481-8168
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Technician
- Winterhaven, CA
- NPI 1275956799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1295254472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3128 S BRAND LEE WAY",
"city": "YUMA",
"state": "AZ",
"postal_code": "853655110",
"telephone_number": "702-481-8168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 S 4TH AVE",
"city": "YUMA",
"state": "AZ",
"postal_code": "853648122",
"telephone_number": "702-481-8168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY LIFESTYLES CONSULTANTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-19",
"last_updated": "2022-07-21",
"certification_date": "2021-09-16",
"status": "A",
"authorized_official_last_name": "GALAVIZ",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER/ THERAPIST",
"authorized_official_telephone_number": "702-481-8168",
"authorized_official_credential": "CMA LCMT"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK",
"identifier": "707134",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA STATE BOARD OF MASSAGE THERAPY",
"identifier": "MT-19507",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASSOCIATED BODYWORK & MASSAGE PROFESSIONALS",
"identifier": "339090",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS",
"identifier": "336580",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AZ Sports Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.