Active NPI
Michael Octavio Alvarez
- Massage Therapist
- Jericho, NY
National Provider Identifier
1851251557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 004656
- Practice address
- 99 Jericho Tpke
Jericho, NY 11753-1073 - Phone
- (516) 307-8101
- Fax
- (516) 307-8101
- NPI assigned
- Nov 14, 2025
- Sex
- Male
- 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 | 004656 | NY | Primary |
Addresses
Primary practice location
99 Jericho Tpke
Jericho, NY 11753-1073
Mailing address
19 Roosevelt Blvd
Massapequa, NY 11758-6828
Phone (516) 672-2021
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1851251557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 ROOSEVELT BLVD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117586828",
"telephone_number": "516-672-2021",
"fax_number": "516-307-8109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 JERICHO TPKE",
"city": "JERICHO",
"state": "NY",
"postal_code": "117531073",
"telephone_number": "516-307-8101",
"fax_number": "516-307-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "MICHAEL",
"middle_name": "OCTAVIO",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-14",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NY",
"license": "004656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jericho, NY
- Janet Allen, REGISTERED NURSE
- Allied Physicians Group
- Allied Physicians Group Pediatric After Hours Center PLLC
- Adam Ahmed S Alsaad
- Danielle J Altman, LMSW
- Meylin G Amador Rodriguez, PT, DPT
- Amber Health LLC
- Amit M. Shelat, Inc.
- Ana Umana-Ramirez, Nurse Practitioner in Psychiatry, PLLC
- Andreas P Niarchos MD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.