Active NPI
Adrian Manuel Villalobos, L.M.T., B.S., M.S.
- Massage Therapist
- Yuma, AZ
National Provider Identifier
1740098425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-25594
- Practice address
- 1001 W 16TH St
Yuma, AZ 85364-4547 - Phone
- (928) 276-4711
- NPI assigned
- Dec 26, 2024
- 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 | MT-25594 | AZ | Primary |
Addresses
Primary practice location
1001 W 16TH St
Yuma, AZ 85364-4547
Mailing address
PO Box 5162
Yuma, AZ 85366-2459
Phone (282) 764-7119
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
- Bachelor of Science, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT-25594 | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1740098425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5162",
"city": "YUMA",
"state": "AZ",
"postal_code": "853662459",
"telephone_number": "282-764-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W 16TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853644547",
"telephone_number": "928-276-4711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLALOBOS",
"first_name": "ADRIAN",
"middle_name": "MANUEL",
"credential": "L.M.T., B.S., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-26",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-25594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.