Active NPI
Ivette Anita Maoz, LMT
- Massage Therapist
- Chandler, AZ
National Provider Identifier
1972674653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-00026P
- Practice address
- 5355 W Chandler Blvd Ste 10
Driftwood Family Chiropractic
Chandler, AZ 85226-8603 - Phone
- (480) 705-0353
- Fax
- (480) 699-0353
- NPI assigned
- Nov 13, 2006
- 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 | MT-00026P | AZ | Primary |
Addresses
Primary practice location
5355 W Chandler Blvd Ste 10
Driftwood Family Chiropractic
Chandler, AZ 85226-8603
Mailing address
101 N del Pueblo PL
Chandler, AZ 85226-3679
Phone (480) 940-6438
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 |
|---|---|---|---|
| MT-00026P | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972674653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N DEL PUEBLO PL",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852263679",
"telephone_number": "480-940-6438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5355 W CHANDLER BLVD STE 10",
"address_2": "DRIFTWOOD FAMILY CHIROPRACTIC",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852268603",
"telephone_number": "480-705-0353",
"fax_number": "480-699-0353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAOZ",
"first_name": "IVETTE",
"middle_name": "ANITA",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-00026P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.