Individual provider Active NPI

Nelson Sandino Sanoja Sr., LMT

  • Massage Therapist
  • Miami Beach, FL
National Provider Identifier
1457041204
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA97749 Issued in FL
Practice address
900 6TH St Apt 32
Miami Beach, FL 33139-6314
Phone
(786) 523-9651
NPI assigned
May 15, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 MA97749 FL Primary

Addresses

Primary practice location

900 6TH St Apt 32
Miami Beach, FL 33139-6314

Mailing address

20230 NE 3Rd CT Apt 2
Miami, FL 33179-5208
Phone (786) 523-9651

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1457041204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20230 NE 3RD CT APT 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331795208",
            "telephone_number": "786-523-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 6TH ST APT 32",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396314",
            "telephone_number": "786-523-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANOJA",
        "first_name": "NELSON",
        "middle_name": "SANDINO",
        "name_suffix": "Sr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA97749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.