Organization Active NPI

Roger Greco L.M.T. LLC

  • Massage Therapist
  • Orlando, FL
National Provider Identifier
1760795777
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ROGER GRECO L.M.T. LLC
Practice address
1011 Virginia Dr
Suite 102
Orlando, FL 32803-2531
Phone
(407) 712-5280
NPI assigned
Jul 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roger Greco, L.M.T.
Title
Operating Manager and Secretary
Phone
(407) 712-5280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1011 Virginia Dr
Suite 102
Orlando, FL 32803-2531

Mailing address

3218 Anderson PL
Orlando, FL 32803-6744
Phone (407) 712-5280

Other identifiers 1

IdentifierTypeStateIssuer
002636200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1760795777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 ANDERSON PL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328036744",
            "telephone_number": "407-712-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 VIRGINIA DR",
            "address_2": "SUITE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032531",
            "telephone_number": "407-712-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER GRECO L.M.T. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OPERATING MANAGER AND SECRETARY",
        "authorized_official_telephone_number": "407-712-5280",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002636200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.