Individual provider Active NPI

Alexander Joseph Felicione

  • Massage Therapist
  • Stuart, FL
National Provider Identifier
1295507838
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA93166 Issued in FL
Practice address
1320 SE Federal Hwy Ste 202
Stuart, FL 34994-3409
Phone
(772) 341-4811
NPI assigned
Oct 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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 MA93166 FL Primary

Addresses

Primary practice location

1320 SE Federal Hwy Ste 202
Stuart, FL 34994-3409

Mailing address

1015 SW 29TH St
Palm City, FL 34990-2923
Phone (772) 341-4811

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
MA93166FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Love & Light Bodywork LLC Massage Therapist CurrentSince Dec 3, 2023 Accepting new patients

Locations

1320 SE Federal Hwy
Ste 202
Stuart, FL 34994
Phone (772) 233-7632

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": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1295507838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 SW 29TH ST",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902923",
            "telephone_number": "772-341-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 SE FEDERAL HWY STE 202",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943409",
            "telephone_number": "772-341-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIONE",
        "first_name": "ALEXANDER",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA93166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.