Active NPI
Marian Sotelo-Paz, LMT
- Massage Therapist
- Kissimmee, FL
National Provider Identifier
1578819371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA49040
- Practice address
- 25 Broadway Ste 4
Kissimmee, FL 34741-5711 - Phone
- (786) 488-8805
- NPI assigned
- Jul 30, 2012
- Sex
- Female
- 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 | MA49040 | FL | Primary |
Addresses
Primary practice location
25 Broadway Ste 4
Kissimmee, FL 34741-5711
Mailing address
1550 Crestridge Dr
Kissimmee, FL 34746-4287
Phone (786) 488-8805
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 |
|---|---|---|---|
| MA49040 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1578819371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 CRESTRIDGE DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347464287",
"telephone_number": "786-488-8805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 BROADWAY STE 4",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415711",
"telephone_number": "786-488-8805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTELO-PAZ",
"first_name": "MARIAN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-30",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA49040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.