Mario N Vetanze, LMT, CPEP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT.0016272 Issued in CO

Practice address

4090 S Parker Rd Ste 125
Aurora, CO 80014-7113

Phone

(303) 693-2225

Fax

(303) 693-2225

NPI assigned

Jul 13, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Colorado Chiropractic Rehabilitation

  • Chiropractor
  • Aurora, CO
  • NPI 1649462763
  NPD (past)

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499904000000",
    "number": "1790207470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 S PARKER RD STE 125",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800147113",
            "telephone_number": "303-693-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 S PARKER RD STE 125",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800147113",
            "telephone_number": "303-693-2225",
            "fax_number": "303-693-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETANZE",
        "first_name": "MARIO",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "LMT, CPEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0016272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina T Veselak, LMFT
• Jan Michael Veselak III
• Dana Rae Vessio
• Ryan Matthew Vest, M.D.
• Benjamin Vestal, DMD
• James David Vetter, D.D.S.
• Dany Vexler, FNP-C
• VI/Ra Aurora Villages, LLC
• Bethany Vibert
• Rajeev Vibhakar, MD

• Massage Therapist in Aurora, CO
• Providers in Aurora, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.