Active NPI
Leilani Gail Simmons, LMT
- Massage Therapist
- North Port, FL
National Provider Identifier
1023442050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 47323
- Practice address
- 1361 S Sumter Blvd
North Port, FL 34287-2339 - Phone
- (941) 423-2667
- NPI assigned
- Aug 27, 2013
- Last updated
- Aug 27, 2013
- 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 | 47323 | FL | Primary |
Addresses
Primary practice location
1361 S Sumter Blvd
North Port, FL 34287-2339
Mailing address
7819 Jayman Rd
North Port, FL 34291-5778
Phone (941) 276-5664
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 |
|---|---|---|---|
| 47323 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Port Chiropractic, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba North Port Chiropractic
- Chiropractor
- North Port, FL
- NPI 1649466566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1023442050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7819 JAYMAN RD",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342915778",
"telephone_number": "941-276-5664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1361 S SUMTER BLVD",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342872339",
"telephone_number": "941-423-2667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "LEILANI",
"middle_name": "GAIL",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "47323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Port, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.