Individual provider Active NPI

Leslie Markiel, LMT

  • Massage Therapist
  • Idaho Falls, ID
National Provider Identifier
1023569217
Registry record updated Oct 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAS-2926 Issued in ID
Practice address
2450 E 25TH St
Ste C
Idaho Falls, ID 83404-7577
Phone
(208) 656-5858
Fax
(208) 549-7575
NPI assigned
Oct 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2016

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 MAS-2926 ID Primary

Addresses

Primary practice location

2450 E 25TH St
Ste C
Idaho Falls, ID 83404-7577

Mailing address

2450 E 25TH St
Ste C
Idaho Falls, ID 83404-7577
Phone (208) 656-5858

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
MAS-2926IDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Del Holdings, LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477094400000",
    "number": "1023569217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 E 25TH ST",
            "address_2": "STE C",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047577",
            "telephone_number": "208-656-5858",
            "fax_number": "208-549-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 E 25TH ST",
            "address_2": "STE C",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047577",
            "telephone_number": "208-656-5858",
            "fax_number": "208-549-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKIEL",
        "first_name": "LESLIE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-22",
        "last_updated": "2016-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-2926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2016; 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.