Active NPI
Leonnie Brathwaite, LMBT, CT
- Massage Therapist
- Raleigh, NC
National Provider Identifier
1255043154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14883
- Practice address
- 10931 Raven Ridge Rd Ste 103
Raleigh, NC 27614-6499 - Phone
- (919) 865-6900
- NPI assigned
- Dec 22, 2022
- Last updated
- Dec 22, 2022
- 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 | 14883 | NC | Primary |
Addresses
Primary practice location
10931 Raven Ridge Rd Ste 103
Raleigh, NC 27614-6499
Mailing address
4205 Cobia CT Apt a
Raleigh, NC 27604-7217
Phone (704) 606-9339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14883 | Other | NC | LMBT # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14883 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Works, PLLC | Current | Accepting new patients |
Locations
10931 Raven Ridge Rd
Ste 103
Raleigh, NC 27614
Phone (919) 256-0900
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": "1671667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1255043154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 COBIA CT APT A",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276047217",
"telephone_number": "704-606-9339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10931 RAVEN RIDGE RD STE 103",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276146499",
"telephone_number": "919-865-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRATHWAITE",
"first_name": "LEONNIE",
"name_prefix": "Ms.",
"credential": "LMBT, CT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-22",
"last_updated": "2022-12-22",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "14883",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMBT #",
"identifier": "14883",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Jade Elaine Brashear, CRNA
- Alexandra Leigh Braswell, MSW, LCSW
- Penny Watson Braswell, FNP
- Phyllis Corey Braswell, R.PH
- Marigny Manson Bratcher, RN
- Edward Charles Bratzke, MD
- Rachel Hallman Bratzke, DPT
- Brave Changes Counseling and Consulting
- Bravo Health Partners LLC (Bravo Health Partners Peer Support Services)
- Bravo Mental Wellness PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.