Active NPI
Lerida A Reyes Velez, LMT
- Massage Therapist
- Fort Leavenworth, KS
National Provider Identifier
1013733773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2020040721
- Practice address
- 200 Reynolds Ave
Fort Leavenworth, KS 66027-2336 - Phone
- (316) 204-3356
- NPI assigned
- Nov 27, 2024
- 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 | 2020040721 | MO | Primary |
Addresses
Primary practice location
200 Reynolds Ave
Fort Leavenworth, KS 66027-2336
Mailing address
5801 NW 63Rd St Apt 7305
Kansas City, MO 64151-3336
Phone (316) 204-3356
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 |
|---|---|---|---|
| 2020040721 | MO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1013733773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 NW 63RD ST APT 7305",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641513336",
"telephone_number": "316-204-3356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 REYNOLDS AVE",
"city": "FORT LEAVENWORTH",
"state": "KS",
"postal_code": "660272336",
"telephone_number": "316-204-3356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES VELEZ",
"first_name": "LERIDA",
"middle_name": "A",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-27",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MO",
"license": "2020040721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.