Individual provider Active NPI

Cindy Leahy, LMT

  • Massage Therapist
  • Port St Lucie, FL
National Provider Identifier
1285925446
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA3191 Issued in FL
Practice address
2181 SW Bayshore Blvd
Port St Lucie, FL 34984
Phone
(772) 878-1752
Fax
(772) 878-1752
NPI assigned
Apr 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA0003191 FL
Massage Therapist 225700000X MA3191 FL Primary

Addresses

Primary practice location

2181 SW Bayshore Blvd
Port St Lucie, FL 34984

Mailing address

2181SW Bayshore Blvd
Port St Lucie, FL 34984-2446
Phone (772) 878-1752

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
MA0003191FLMDSpecialist
MA3191FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Massage Mosaics 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": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1285925446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181SW BAYSHORE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349842446",
            "telephone_number": "772-878-1752",
            "fax_number": "772-878-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 SW BAYSHORE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34984",
            "telephone_number": "772-878-1752",
            "fax_number": "772-878-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "CINDY",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-22",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA0003191",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA3191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.