Active NPI
Reyving Mayora, LMT
- Massage Therapist
- Pembroke Pines, FL
National Provider Identifier
1306383310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA72664
- Practice address
- 9091 Pembroke Rd
Pembroke Pines, FL 33025-1637 - Phone
- (786) 451-1250
- NPI assigned
- Jan 28, 2017
- 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 | MA72664 | FL | Primary |
Addresses
Primary practice location
9091 Pembroke Rd
Pembroke Pines, FL 33025-1637
Mailing address
8710 SW 3Rd St
Apt # 204
Pembroke Pines, FL 33025-1404
Phone (786) 451-1250
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 |
|---|---|---|---|
| MA72664 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485561600000",
"number": "1306383310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8710 SW 3RD ST",
"address_2": "APT # 204",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330251404",
"telephone_number": "786-451-1250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9091 PEMBROKE RD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330251637",
"telephone_number": "786-451-1250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYORA",
"first_name": "REYVING",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-28",
"last_updated": "2017-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA72664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.