Active NPI
Jacqueline Leyva
- Massage Therapist
- San Antonio, TX
National Provider Identifier
1356794200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT117769
- Practice address
- 16350 Blanco Rd
Suite 110B
San Antonio, TX 78232-3339 - Phone
- (210) 764-2121
- Fax
- (210) 579-6932
- NPI assigned
- Jul 15, 2016
- 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 | MT117769 | TX | Primary |
Addresses
Primary practice location
16350 Blanco Rd
Suite 110B
San Antonio, TX 78232-3339
Mailing address
7323 Washita Way
San Antonio, TX 78256
Phone (210) 410-0325
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 |
|---|---|---|---|
| MT117769 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477008000000",
"number": "1356794200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7323 WASHITA WAY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78256",
"telephone_number": "210-410-0325",
"fax_number": "210-579-6932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16350 BLANCO RD",
"address_2": "SUITE 110B",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782323339",
"telephone_number": "210-764-2121",
"fax_number": "210-579-6932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEYVA",
"first_name": "JACQUELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-15",
"last_updated": "2016-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT117769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.