Individual provider Active NPI

Melissa Lefcourt, RMT, AOS

  • Massage Therapist
  • Broomfield, CO
National Provider Identifier
1053867119
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0004934 Issued in CO
Practice address
2095 W 6TH Ave
Suite 115
Broomfield, CO 80020-1870
Phone
(720) 432-4541
NPI assigned
Aug 29, 2016
Last updated
Aug 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 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 MT.0004934 CO Primary

Addresses

Primary practice location

2095 W 6TH Ave
Suite 115
Broomfield, CO 80020-1870

Mailing address

2095 W 6TH Ave
Suite 115
Broomfield, CO 80020-1870
Phone (720) 432-4541

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
MT.0004934COMDMassage Therapist

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, 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": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1053867119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 W 6TH AVE",
            "address_2": "SUITE 115",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201870",
            "telephone_number": "720-432-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 W 6TH AVE",
            "address_2": "SUITE 115",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201870",
            "telephone_number": "720-432-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFCOURT",
        "first_name": "MELISSA",
        "credential": "RMT, AOS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0004934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.