Individual provider Active NPI

Michael John Belmonte, LMBT

  • Massage Therapist
  • Wake Forest, NC
National Provider Identifier
1861217036
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
12339 Wake Union Church Rd Ste 102
Wake Forest, NC 27587-4512
Phone
(919) 593-4650
NPI assigned
Nov 21, 2024
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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 NU Primary

Addresses

Primary practice location

12339 Wake Union Church Rd Ste 102
Wake Forest, NC 27587-4512

Mailing address

12339 Wake Union Church Rd Ste 102
Wake Forest, NC 27587-4512

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roots Bodywork LLC Massage Therapist CurrentSince Nov 24, 2024 Accepting new patients

Locations

12339 Wake Union Church Rd
Ste 102
Wake Forest, NC 27587
Phone (919) 245-7358

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": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1861217036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12339 WAKE UNION CHURCH RD STE 102",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12339 WAKE UNION CHURCH RD STE 102",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874512",
            "telephone_number": "919-593-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELMONTE",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "LMBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.