Individual provider Active NPI

Stanley Oliveras

  • Massage Therapist
  • Warwick, RI
National Provider Identifier
1881357655
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT01674 Issued in RI
Practice address
222 Jefferson Blvd Ste 4
Warwick, RI 02888-3847
Phone
(401) 423-4433
Fax
(401) 204-1100
NPI assigned
Oct 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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 MT01674 RI Primary

Addresses

Primary practice location

222 Jefferson Blvd Ste 4
Warwick, RI 02888-3847

Mailing address

222 Jefferson Blvd Ste 4
Warwick, RI 02888-3847

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL athenanet.athenahealth.com Health Information Exchange (HIE) Alternative Integrative Medicine, Inc

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
MT01674RIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Integrative Medicine, Inc Massage Therapist CurrentSince Oct 24, 2021 Accepting new patients

Locations

222 Jefferson Blvd
Ste 4
Warwick, RI 02888
Phone (401) 423-4433

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22370/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1881357655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 JEFFERSON BLVD STE 4",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 JEFFERSON BLVD STE 4",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883847",
            "telephone_number": "401-423-4433",
            "fax_number": "401-204-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERAS",
        "first_name": "STANLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "RI",
            "license": "MT01674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "athenanet.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "athenahealth",
            "affiliationName": "Alternative Integrative Medicine, Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "online",
            "address_1": "222 Jefferson Blvd Ste 4",
            "city": "Warwick",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028883847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.