Organization Active NPI

Healthy Lifestyles Consultants LLC

Doing business as AZ Sports Therapy

  • Point of Service
  • Yuma, AZ
National Provider Identifier
1295254472
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
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

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Galaviz, CMA LCMTNPI 1275956799
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
707134OtherILNATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK
MT-19507OtherAZARIZONA STATE BOARD OF MASSAGE THERAPY
339090OtherCOASSOCIATED BODYWORK & MASSAGE PROFESSIONALS
336580OtherILAMERICAN ASSOCIATION OF MEDICAL ASSISTANTS

Other names 1

  • AZ Sports Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.