Active NPI
Leslie H Glenn, MT
- Massage Therapist
- Harahan, LA
National Provider Identifier
1437858016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2658
- Practice address
- 5606 Jefferson Hwy
Harahan, LA 70123-5111 - Phone
- (504) 723-0254
- Fax
- (504) 734-8869
- NPI assigned
- Mar 2, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 2658 | LA | Primary |
Addresses
Primary practice location
5606 Jefferson Hwy
Harahan, LA 70123-5111
Mailing address
5606 Jefferson Hwy
Harahan, LA 70123-5111
Phone (504) 723-0254
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2658 | LA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Physical Therapy, LLC | Massage Therapist | Current | Accepting new patients |
Locations
5606 Jefferson Hwy
New Orleans, LA 70123
Phone (504) 309-5461
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": "1677715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1437858016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5606 JEFFERSON HWY",
"city": "HARAHAN",
"state": "LA",
"postal_code": "701235111",
"telephone_number": "504-723-0254",
"fax_number": "504-734-8869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5606 JEFFERSON HWY",
"city": "HARAHAN",
"state": "LA",
"postal_code": "701235111",
"telephone_number": "504-723-0254",
"fax_number": "504-734-8869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "LESLIE",
"middle_name": "H",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-02",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "LA",
"license": "2658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harahan, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.