Individual provider Active NPI

Morailys S Colmenares Perez, MA

  • Massage Therapist
  • Port Saint Lucie, FL
National Provider Identifier
1891679551
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA104872 Issued in FL
Practice address
579 NW North Macedo Blvd
Port Saint Lucie, FL 34983-1001
Phone
(772) 292-5595
NPI assigned
Aug 4, 2025
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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 MA104872 FL Primary

Addresses

Primary practice location

579 NW North Macedo Blvd
Port Saint Lucie, FL 34983-1001

Mailing address

579 NW North Macedo Blvd
Port Saint Lucie, FL 34983-1001
Phone (772) 292-5595

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MA104872FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1891679551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 NW NORTH MACEDO BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831001",
            "telephone_number": "772-292-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 NW NORTH MACEDO BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831001",
            "telephone_number": "772-292-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLMENARES PEREZ",
        "first_name": "MORAILYS",
        "middle_name": "S",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA104872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.