Active NPI
Yenma Concepcion Vazquez, MA 61848
- Massage Therapist
- Fort Myers, FL
National Provider Identifier
1962773028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61848
- Practice address
- 4048 Evans Ave
Suite 208
Fort Myers, FL 33901-9322 - Phone
- (239) 931-4640
- Fax
- (239) 931-4650
- NPI assigned
- Jan 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61848 | FL | Primary |
Addresses
Primary practice location
4048 Evans Ave
Suite 208
Fort Myers, FL 33901-9322
Mailing address
4233 Bellasol Cir
Apt 1811
Fort Myers, FL 33916-7372
Phone (239) 244-4851
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA61848 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G & C Medical Center Inc | Past | 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
- Fort Myers, FL
- NPI 1023394095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327104000000",
"number": "1962773028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4233 BELLASOL CIR",
"address_2": "APT 1811",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339167372",
"telephone_number": "239-244-4851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4048 EVANS AVE",
"address_2": "SUITE 208",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019322",
"telephone_number": "239-931-4640",
"fax_number": "239-931-4650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCEPCION VAZQUEZ",
"first_name": "YENMA",
"credential": "MA 61848",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-21",
"last_updated": "2012-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA61848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
- Companion Caregiver Services Inc
- Lisandra Companioni, DMD
- Complete Care Home Health Agency Inc
- Comprehensive Holistic Rehab Clinic
- Comprehensive Wound Care Centers LLC
- Eric Concepcion
- Concepts in Rehab Inc
- Concierge Care of Fort Myers, LLC
- Concierge Orthopedic Solutions LLC
- Francisco Conde Perez, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.