Active NPI
Alfonso Olive, LMT
- Massage Therapist
- Baton Rouge, LA
National Provider Identifier
1588021687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7793
- Practice address
- 2100 College Dr
Apt. 53
Baton Rouge, LA 70808-1861 - Phone
- (225) 614-8801
- NPI assigned
- Jan 20, 2016
- 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 | 7793 | LA | Primary |
Addresses
Primary practice location
2100 College Dr
Apt. 53
Baton Rouge, LA 70808-1861
Mailing address
PO Box 14083
Baton Rouge, LA 70898-4083
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": "1453248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1588021687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14083",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708984083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 COLLEGE DR",
"address_2": "APT. 53",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708081861",
"telephone_number": "225-614-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVE",
"first_name": "ALFONSO",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-20",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "LA",
"license": "7793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.