Individual provider Active NPI

Alec Glasofer

  • Massage Therapist
  • Las Vegas, NV
National Provider Identifier
1447822689
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
10816 Issued in NV
Practice address
875 E Silverado Ranch Blvd Apt 2224
Las Vegas, NV 89183-5896
Phone
(848) 525-7349
NPI assigned
Jul 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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 10816 NV Primary

Addresses

Primary practice location

875 E Silverado Ranch Blvd Apt 2224
Las Vegas, NV 89183-5896

Mailing address

875 E Silverado Ranch Blvd Apt 2224
Las Vegas, NV 89183-5896
Phone (848) 525-7349

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

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1447822689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 E SILVERADO RANCH BLVD APT 2224",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835896",
            "telephone_number": "848-525-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 E SILVERADO RANCH BLVD APT 2224",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835896",
            "telephone_number": "848-525-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASOFER",
        "first_name": "ALEC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "10816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.