Active NPI
Hamlet Periu
- Massage Therapist
- Naples, FL
National Provider Identifier
1912780792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13839
- Practice address
- 2977 Goodlette-Frank Rd N Ste 40
Naples, FL 34103-4615 - Phone
- (239) 776-7987
- NPI assigned
- Aug 16, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13839 | FL | |
| Massage Therapist | 225700000X | 13839 | FL | Primary |
Addresses
Primary practice location
2977 Goodlette-Frank Rd N Ste 40
Naples, FL 34103-4615
Mailing address
2977 Goodlette-Frank Rd N Ste 40
Naples, FL 34103-4615
Phone (239) 776-7987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261Q00000X | Other | FL | AMBULATORY HEALTH CARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13839 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Forever Medical & Rehab Center Inc | Current | Accepting new patients |
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.
-
- Clinic/Center
- Naples, FL
- NPI 1538941877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1912780792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2977 GOODLETTE-FRANK RD N STE 40",
"city": "NAPLES",
"state": "FL",
"postal_code": "341034615",
"telephone_number": "239-776-7987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2977 GOODLETTE-FRANK RD N STE 40",
"city": "NAPLES",
"state": "FL",
"postal_code": "341034615",
"telephone_number": "239-776-7987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERIU",
"first_name": "HAMLET",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-16",
"last_updated": "2023-09-22",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "13839",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "13839",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMBULATORY HEALTH CARE",
"identifier": "261Q00000X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.