Individual provider Active NPI

Lourders M Sardinas, MT

  • Massage Therapist
  • Fort Myers, FL
National Provider Identifier
1669703765
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA49170 Issued in FL
Practice address
8911 Daniels Pkwy Ste 8
Fort Myers, FL 33912-0872
Phone
(239) 313-6300
Fax
(239) 689-5524
NPI assigned
Jan 29, 2010
Last updated
Jan 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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 MA49170 FL Primary

Addresses

Primary practice location

8911 Daniels Pkwy Ste 8
Fort Myers, FL 33912-0872

Mailing address

8911 Daniels Pkwy Ste 8
Fort Myers, FL 33912-0872
Phone (239) 313-6300

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MA49170FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Palm Medical Group Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1669703765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 DANIELS PKWY STE 8",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120872",
            "telephone_number": "239-313-6300",
            "fax_number": "239-689-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8911 DANIELS PKWY STE 8",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120872",
            "telephone_number": "239-313-6300",
            "fax_number": "239-689-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDINAS",
        "first_name": "LOURDERS",
        "middle_name": "M",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA49170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.