Individual provider Active NPI

Alycia Yvette Montanez

  • Massage Therapist
  • Smithfield, NC
National Provider Identifier
1336036789
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
22472 Issued in NC
Practice address
3560 US Highway 301 S
Smithfield, NC 27577-9495
Phone
(919) 710-9895
Fax
(919) 205-1532
NPI assigned
Jun 19, 2025
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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 22472 NC Primary

Addresses

Primary practice location

3560 US Highway 301 S
Smithfield, NC 27577-9495

Mailing address

PO Box 2962
Smithfield, NC 27577-2962
Phone (919) 710-9895

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
22472NCMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Relax Renew Rejuvenate LLC Massage Therapist CurrentSince Jun 23, 2025 Accepting new patients

Locations

3560 US Highway 301 S
Smithfield, NC 27577
Phone (919) 710-9895

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1336036789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2962",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275772962",
            "telephone_number": "919-710-9895",
            "fax_number": "919-205-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 US HIGHWAY 301 S",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779495",
            "telephone_number": "919-710-9895",
            "fax_number": "919-205-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANEZ",
        "first_name": "ALYCIA",
        "middle_name": "YVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "22472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.