Active NPI
Luis M. Obregon, L.M.T. N.C.B.T.M.B.
- Massage Therapist
- Miami, FL
National Provider Identifier
1396049920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA59106
- Practice address
- 9349 SW 39TH St
Miami, FL 33165-4148 - Phone
- (305) 401-4029
- Fax
- (305) 207-8254
- NPI assigned
- Dec 21, 2010
- Sex
- Male
- Sole proprietor
- No
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 | MA59106 | FL | Primary |
Addresses
Primary practice location
9349 SW 39TH St
Miami, FL 33165-4148
Mailing address
9349 SW 39TH St
Miami, FL 33165-4148
Phone (305) 401-4029
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 |
|---|---|---|---|
| MA59106 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1396049920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9349 SW 39TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331654148",
"telephone_number": "305-401-4029",
"fax_number": "305-207-8254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9349 SW 39TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331654148",
"telephone_number": "305-401-4029",
"fax_number": "305-207-8254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBREGON",
"first_name": "LUIS",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "L.M.T. N.C.B.T.M.B.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-21",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA59106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.