Active NPI
Didier Andre Libessart
- Massage Therapist
- Coral Gables, FL
National Provider Identifier
1740171628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA67830
- Practice address
- 3850 Bird Rd Ste 502
Coral Gables, FL 33146-1515 - Phone
- (305) 663-4499
- NPI assigned
- Jul 10, 2025
- Last updated
- Jul 10, 2025
- Sex
- Unspecified or another gender identity
- 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 | MA67830 | FL | Primary |
Addresses
Primary practice location
3850 Bird Rd Ste 502
Coral Gables, FL 33146-1515
Mailing address
3850 Bird Rd Ste 502
Coral Gables, FL 33146-1515
Phone (305) 663-4499
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 |
|---|---|---|---|
| MA67830 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1740171628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 BIRD RD STE 502",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331461515",
"telephone_number": "305-663-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 BIRD RD STE 502",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331461515",
"telephone_number": "305-663-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBESSART",
"first_name": "DIDIER",
"middle_name": "ANDRE",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-07-10",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA67830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.