Active NPI
Michel Reyes, MASSAGE THERAPY
- Rehabilitation Practitioner
- Tampa, FL
National Provider Identifier
1386855278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- MA 44756
- Practice address
- 15105 Monet Dr
Tampa, FL 33613-1209 - Phone
- (813) 476-3102
- NPI assigned
- May 24, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9667060 | FL | |
| Rehabilitation Practitioner | 225400000X | MA 44756 | FL | Primary |
Addresses
Primary practice location
15105 Monet Dr
Tampa, FL 33613-1209
Mailing address
15105 Monet Dr
Tampa, FL 33613-1209
Phone (813) 476-3102
Other practice location 1
1004 W Linebaugh Ave Ste A
Tampa, FL 33612-7837
Phone (813) 443-5370
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 |
|---|---|---|---|
| 9667060 | FL | MD | Registered Nurse |
| MA 44756 | FL | MD | Rehabilitation Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Wellness Center LLC | Single Specialty | Current | Accepting new patients |
| Massage on the Spot | Past | Accepting new patients |
Locations
1004 W Linebaugh Ave
Ste A
Tampa, FL 33612
Phone (813) 443-5370
Organizations & group practices 2
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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Tampa, FL
- NPI 1801007612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1386855278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15105 MONET DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336131209",
"telephone_number": "813-476-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15105 MONET DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336131209",
"telephone_number": "813-476-3102"
}
],
"practiceLocations": [
{
"address_1": "1004 W Linebaugh Ave Ste A",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336127837",
"country_code": "US",
"telephone_number": "813-443-5370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES",
"first_name": "MICHEL",
"name_prefix": "Mr.",
"credential": "MASSAGE THERAPY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "FL",
"license": "9667060",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "FL",
"license": "MA 44756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.