Individual provider Active NPI

Hamlet Periu

  • Massage Therapist
  • Naples, FL
National Provider Identifier
1912780792
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
13839 Issued in FL
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

Updated by the provider on Sep 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
261Q00000XOtherFLAMBULATORY 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

LicenseStateTypeSpecialty
13839FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Forever Medical & Rehab Center Inc CurrentSince Oct 22, 2023 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.

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.

Verify at the official NPI Registry.