Individual provider Active NPI

Maday Albernal Perez

  • Massage Therapist
  • Fort Myers, FL
National Provider Identifier
1699045146
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 66472 Issued in FL
Practice address
31 Barkley Cir
Suite 1B
Fort Myers, FL 33907-7628
Phone
(239) 931-4001
Fax
(239) 931-4002
NPI assigned
Dec 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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 MA 66472 FL Primary

Addresses

Primary practice location

31 Barkley Cir
Suite 1B
Fort Myers, FL 33907-7628

Mailing address

1222 NE 10TH LN
Cape Coral, FL 33909-1541

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

LicenseStateTypeSpecialty
MA 66472FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Professional Therapy Corp Massage Therapist Past 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, 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": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1699045146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 NE 10TH LN",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BARKLEY CIR",
            "address_2": "SUITE 1B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077628",
            "telephone_number": "239-931-4001",
            "fax_number": "239-931-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERNAL PEREZ",
        "first_name": "MADAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 66472",
            "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 Dec 30, 2011; 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.