Leisa Reid Peach, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA42661 Issued in FL

Practice address

1910 Buford Blvd Ste a
Tallahassee, FL 32308-4668

Phone

(850) 325-1331

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Advanced Alternatives Massage Therapy

  • Massage Therapist
  • Tallahassee, FL
  • NPI 1639409535
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1386778793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VILLAGE SQUARE BLVD",
            "address_2": "STE 3 BOX 411",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323124876",
            "telephone_number": "850-325-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 BUFORD BLVD STE A",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084668",
            "telephone_number": "850-325-1331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1258 Cedar Center Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323014876",
            "country_code": "US",
            "telephone_number": "850-766-5889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEACH",
        "first_name": "LEISA",
        "middle_name": "REID",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA42661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mitchell Ford Peabody, D.O.
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• Joseph Paul Peacock, RPH
• Tarvis Peacock, MD
• Anne Pearce, RN, BSN
• Katreena Pearson
• Melissa Rolfe Pearson, FNP-C

• Massage Therapist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.