Active NPI
Leslie A Jones, LMT
- Massage Therapist
- Scotia, NY
National Provider Identifier
1306320288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 028136
- Practice address
- 25 Mohawk Ave
Scotia, NY 12302-2565 - Phone
- (518) 526-3583
- NPI assigned
- Sep 18, 2018
- Last updated
- Sep 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 028136 | NY | Primary |
Addresses
Primary practice location
25 Mohawk Ave
Scotia, NY 12302-2565
Mailing address
25 Mohawk Ave
Scotia, NY 12302-2565
Phone (518) 526-3583
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028136 | Other | NY | STATE LICENSE NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1306320288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MOHAWK AVE",
"city": "SCOTIA",
"state": "NY",
"postal_code": "123022565",
"telephone_number": "518-526-3583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MOHAWK AVE",
"city": "SCOTIA",
"state": "NY",
"postal_code": "123022565",
"telephone_number": "518-526-3583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "LESLIE",
"middle_name": "A",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "028136",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "028136",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scotia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.