Sergio Francisco Galvez Leiva, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

50725 Issued in FL

Practice address

311 SE 15 Avenue
5
Fort Lauderdale, FL 33301

NPI assigned

Aug 24, 2020

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1568074284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 SW 15TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333127222",
            "telephone_number": "954-850-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 SE 15 AVENUE",
            "address_2": "5",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 SW 15th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333127222",
            "country_code": "US",
            "telephone_number": "954-850-6854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 SE 15 AVENUE",
            "address_2": "5",
            "address_purpose": "LOCATION",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33301",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 SE 15th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333012366",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 SE 15th Ave # 5",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333012366",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "716 SW 15th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333127222",
            "country_code": "US",
            "telephone_number": "954-850-6854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALVEZ LEIVA",
        "first_name": "SERGIO",
        "middle_name": "FRANCISCO",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "50725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Galt Ocean Chiropractic Inc
• Galt Ocean Rehab LLC
• Galt Ocean Rehab, LLC
• Kasey Lynn Galt, PT, DPT
• Alessandra Paola Galvan
• Maria Fernanda Galvez, LMHC
• Susan Diane Galvis, DDS
• Amon-Ra Gama, MD
• Adalid Gamarra
• Patricia Gamble

• Massage Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.