Active NPI
Luis Manuel Rivera Jr., MS, LMT
- Massage Therapist
- Mesa, AZ
National Provider Identifier
1396263158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-25981
- Practice address
- 930 N Mesa Dr Unit 2036
Mesa, AZ 85201-4327 - Phone
- (404) 784-1233
- NPI assigned
- Aug 31, 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 | MT-25981 | AZ | Primary |
Addresses
Primary practice location
930 N Mesa Dr Unit 2036
Mesa, AZ 85201-4327
Mailing address
930 N Mesa Dr Unit 2036
Mesa, AZ 85201-4327
Phone (347) 966-7533
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT-25981 | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1396263158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 N MESA DR UNIT 2036",
"city": "MESA",
"state": "AZ",
"postal_code": "852014327",
"telephone_number": "347-966-7533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 N MESA DR UNIT 2036",
"city": "MESA",
"state": "AZ",
"postal_code": "852014327",
"telephone_number": "404-784-1233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "LUIS",
"middle_name": "MANUEL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MS, LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-31",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-25981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.