Individual provider Active NPI

Leila K Caldeira, L.M.P.

  • Massage Therapist
  • Belfair, WA
National Provider Identifier
1114236718
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60176393 Issued in WA
Practice address
151 NE State Route 300
Belfair, WA 98528-9615
Phone
(360) 275-8727
Fax
(360) 275-9695
NPI assigned
Sep 29, 2010
Last updated
Sep 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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 MA 60176393 WA Primary

Addresses

Primary practice location

151 NE State Route 300
Belfair, WA 98528-9615

Mailing address

151 NE State Route 300
Belfair, WA 98528-9615
Phone (360) 275-8727

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
MA 60176393WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Petersen Chiropractic, PLLC PastSince May 1, 2009 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.

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1114236718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 NE STATE ROUTE 300",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985289615",
            "telephone_number": "360-275-8727",
            "fax_number": "360-275-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NE STATE ROUTE 300",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985289615",
            "telephone_number": "360-275-8727",
            "fax_number": "360-275-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDEIRA",
        "first_name": "LEILA",
        "middle_name": "K",
        "credential": "L.M.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60176393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfair, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.