Individual provider Active NPI

Lemuel Felipe, LMT

  • Massage Therapist
  • Tampa, FL
National Provider Identifier
1013110394
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 33112 Issued in FL
Practice address
3104 W Waters Ave
Suite 203
Tampa, FL 33614-2800
Phone
(813) 877-6714
Fax
(813) 877-7478
NPI assigned
Jun 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MA 33112 FL Primary

Addresses

Primary practice location

3104 W Waters Ave
Suite 203
Tampa, FL 33614-2800

Mailing address

8206 La Serena Dr
Tampa, FL 33614-2756
Phone (813) 877-6714

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
MA 33112FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Therapy Centers Massage Therapist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013110394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8206 LA SERENA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142756",
            "telephone_number": "813-877-6714",
            "fax_number": "813-877-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 W WATERS AVE",
            "address_2": "SUITE 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142800",
            "telephone_number": "813-877-6714",
            "fax_number": "813-877-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIPE",
        "first_name": "LEMUEL",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 33112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

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.

Verify at the official NPI Registry.