Daniel Joshua Avery, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

11814 Issued in NV

Practice address

2291 S Fort Apache Rd Ste 106
Las Vegas, NV 89117-5895

Phone

(702) 776-7766

NPI assigned

Jun 30, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Holistic Massage and Bodyworks

  • Massage Therapist
  • Las Vegas, NV
  • NPI 1891475554
  NPD Authorized official
• Active Body Chiropractic

  • Chiropractor
  • Las Vegas, NV
  • NPI 1437394582
  NPD (past)

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1427735489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 BLUE DIAMOND RD STE 102-389",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397789",
            "telephone_number": "725-248-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 S FORT APACHE RD STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175895",
            "telephone_number": "702-776-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "DANIEL",
        "middle_name": "JOSHUA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-30",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "11814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divina Gracia Averilla, MD
• Avery Home Health LLC
• Avery Hospice LLC
• Barbara J Avery
• Carmen Avery
• Dondre Avery
• Mario Avery II
• Marketta Avery
• Megan Elaine Avery
• Neya Avery, RBT

• Massage Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Massage Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.