Individual provider Active NPI

Luis Alvarez

  • Massage Therapist
  • Fort Myers, FL
National Provider Identifier
1922501089
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA36326 Issued in FL
Practice address
2665 Cleveland Ave Ste 201-205
Fort Myers, FL 33901-5850
Phone
(239) 362-3314
NPI assigned
Mar 15, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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 MA36326 FL Primary

Addresses

Primary practice location

2665 Cleveland Ave Ste 201-205
Fort Myers, FL 33901-5850

Mailing address

2665 Cleveland Ave Ste 201-205
Fort Myers, FL 33901-5850
Phone (239) 362-3314

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA36326FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Wellness Center, Inc. Current Accepting new patients
Rehabilitation Alternative Therapy & Spa Center Inc CurrentSince Nov 8, 2020 Accepting new patients
Help Community Mental Center LLC Current Accepting new patients

Locations

2665 Cleveland Ave
Ste 201205
Fort Myers, FL 33901
Phone (239) 362-3314

1150 Lee Blvd
Ste 3
Lehigh Acres, FL 33936
Phone (239) 369-3799

Organizations & group practices 3

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": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1922501089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 CLEVELAND AVE STE 201-205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339015850",
            "telephone_number": "239-362-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 CLEVELAND AVE STE 201-205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339015850",
            "telephone_number": "239-362-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "LUIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-15",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA36326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.