Demosthenes Stephen Metarelis

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2950 Issued in NM

Practice address

8006 Menaul NE
Massage Therapy With Love at Alive & Well Center
Albuquerque, NM 87110-4608

Phone

(505) 271-5483

NPI assigned

Feb 11, 2008

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

Other identifiers 1

Other names 1

• Demo Metarelis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1831367093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 CLAUDINE NE",
            "address_2": "MASSAGE THERAPY WITH LOVE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231224",
            "telephone_number": "505-296-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8006 MENAUL NE",
            "address_2": "MASSAGE THERAPY WITH LOVE AT ALIVE & WELL CENTER",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104608",
            "telephone_number": "505-271-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METARELIS",
        "first_name": "DEMOSTHENES",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "2950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00RJ54",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEMO",
            "last_name": "METARELIS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Samantha Messinger
• Diann Messuri, SLP
• Evelin Mesta Facio
• Desirae Kalie Mestas
• Nicole La'Nae Mestas, PMHNP-BC
• Heidi Jan Metcalf, MA, LPCC
• Richard Lawrence Meth, L.C.S.W., PH.D
• Antoinette C Metheney, CCC-SLP
• Sara Metheny
• Method Physical Therapy, LLC

• Massage Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Massage Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.