Individual provider Active NPI

Lakia Reynolds, LMT

  • Massage Therapist
  • Indianapolis, IN
National Provider Identifier
1043871130
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT21304955 Issued in IN
Practice address
5550 W 10TH St Ste D
Indianapolis, IN 46224-6243
Phone
(317) 672-2644
Fax
(463) 800-1728
NPI assigned
Jun 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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 MT21304955 IN Primary

Addresses

Primary practice location

5550 W 10TH St Ste D
Indianapolis, IN 46224-6243

Mailing address

5550 W 10TH St Ste D
Indianapolis, IN 46224-6243
Phone (317) 672-2644

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
MT21304955INMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Hands Home Health Care LLC Current Accepting new patients
Elite Hands Comfort Home Care LLC Current Accepting new patients

Locations

5550 W 10th St
Ste D
Indianapolis, IN 46224
Phone (317) 672-2644

Organizations & group practices 2

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": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1043871130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 W 10TH ST STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462246243",
            "telephone_number": "317-672-2644",
            "fax_number": "463-800-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 W 10TH ST STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462246243",
            "telephone_number": "317-672-2644",
            "fax_number": "463-800-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "LAKIA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT21304955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.