Active NPI
Lea Rosemarie Thibeault, MASSAGE THERIPAST
- Massage Therapist
- Hazleton, PA
National Provider Identifier
1245536622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 305 S Church St
Suite 115
Hazleton, PA 18201-7605 - Phone
- (570) 497-4766
- Fax
- (570) 245-3899
- NPI assigned
- Feb 2, 2011
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
305 S Church St
Suite 115
Hazleton, PA 18201-7605
Mailing address
305 S Church St
Suite 115
Hazleton, PA 18201-7605
Phone (570) 497-4766
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Within Wellness Center 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": "1296604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1245536622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 S CHURCH ST",
"address_2": "SUITE 115",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182017605",
"telephone_number": "570-497-4766",
"fax_number": "570-245-3899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 S CHURCH ST",
"address_2": "SUITE 115",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182017605",
"telephone_number": "570-497-4766",
"fax_number": "570-245-3899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIBEAULT",
"first_name": "LEA",
"middle_name": "ROSEMARIE",
"credential": "MASSAGE THERIPAST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-02",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazleton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.