Individual provider Active NPI

Peter Chevere, LMT

  • Massage Therapist
  • Pembroke Pines, FL
National Provider Identifier
1407069867
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA0011733 Issued in FL
Practice address
1571 N Palm Ave
Pembroke Pines, FL 33026-3229
Phone
(954) 443-9599
Fax
(954) 443-6661
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MA0011733 FL Primary

Addresses

Primary practice location

1571 N Palm Ave
Pembroke Pines, FL 33026-3229

Mailing address

4932 NW 105TH Dr
Coral Springs, FL 33076-1761
Phone (954) 802-6117

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
MA0011733FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Rehabilitation Center, Inc. Current Accepting new patients
DRS Medical & Rehab Inc Massage Therapist Current Accepting new patients
DRS Diagnostics, Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407069867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4932 NW 105TH DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330761761",
            "telephone_number": "954-802-6117",
            "fax_number": "954-443-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 N PALM AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263229",
            "telephone_number": "954-443-9599",
            "fax_number": "954-443-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEVERE",
        "first_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA0011733",
            "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 Jul 8, 2007; 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.