Active NPI
Roberto Thelusma
- Massage Therapist
- Apopka, FL
National Provider Identifier
1558064972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA102363
- Practice address
- 2809 Park Meadow Dr
Apopka, FL 32703-8525 - Phone
- (302) 333-9288
- NPI assigned
- Mar 24, 2023
- 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 | MA102363 | FL | Primary |
Addresses
Primary practice location
2809 Park Meadow Dr
Apopka, FL 32703-8525
Mailing address
2809 Park Meadow Dr
Apopka, FL 32703-8525
Phone (302) 333-9288
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA102363 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliable Health & Rehab, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- Milford, DE
- NPI 1215764477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1558064972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2809 PARK MEADOW DR",
"city": "APOPKA",
"state": "FL",
"postal_code": "327038525",
"telephone_number": "302-333-9288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2809 PARK MEADOW DR",
"city": "APOPKA",
"state": "FL",
"postal_code": "327038525",
"telephone_number": "302-333-9288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THELUSMA",
"first_name": "ROBERTO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-24",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA102363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.