Individual provider Active NPI

Sierra Alexandra Cordova, L.M.T.

  • Massage Therapist
  • Tucson, AZ
National Provider Identifier
1770117277
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-23049 Issued in AZ
Practice address
2532 E 6TH St
Tucson, AZ 85716-4404
Phone
(520) 440-7487
Fax
(520) 844-8075
NPI assigned
Feb 24, 2020
Last updated
Feb 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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 MT-23049 AZ Primary

Addresses

Primary practice location

2532 E 6TH St
Tucson, AZ 85716-4404

Mailing address

1649 N Howard Blvd
Tucson, AZ 85716-3253
Phone (520) 440-7487

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
MT-23049AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Qilosophy, LLC PastSince Mar 1, 2020 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": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1770117277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 N HOWARD BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163253",
            "telephone_number": "520-440-7487",
            "fax_number": "520-844-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 E 6TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164404",
            "telephone_number": "520-440-7487",
            "fax_number": "520-844-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "SIERRA",
        "middle_name": "ALEXANDRA",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-23049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.