Individual provider Active NPI

Lee Mary Whitted, L.M.T.

  • Massage Therapist
  • Gainesville, FL
National Provider Identifier
1316042484
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA18421 Issued in FL
Practice address
2720 NW 6TH St
Suite 1
Gainesville, FL 32609-2994
Phone
(352) 371-1721
Fax
(352) 371-1721
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 MA18421 FL Primary

Addresses

Primary practice location

2720 NW 6TH St
Suite 1
Gainesville, FL 32609-2994

Mailing address

5537 SW 37TH Dr
Gainesville, FL 32608-5131
Phone (352) 378-2862

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
MA18421FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Health Center, Inc. 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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316042484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 SW 37TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326085131",
            "telephone_number": "352-378-2862",
            "fax_number": "352-371-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 NW 6TH ST",
            "address_2": "SUITE 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092994",
            "telephone_number": "352-371-1721",
            "fax_number": "352-371-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTED",
        "first_name": "LEE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA18421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.