Leopoldo Miranda Delatorre, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

9730693-4701 Issued in UT

Practice address

5261 Adams Ave Pkwy
Washington Terrace, UT 84405-6748

Phone

(801) 475-7733

NPI assigned

Aug 29, 2019

Last updated

Aug 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Leo De la Torre Professional name

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.

• Positional Release Therapy Institute LLC

  • Physical Therapist
  • Ogden, UT
  • NPI 1346895935

  Massage Therapist

  NPD

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1487202867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 E 5600 S",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034384",
            "telephone_number": "801-689-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5261 ADAMS AVE PKWY",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844056748",
            "telephone_number": "801-475-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELATORRE",
        "first_name": "LEOPOLDO",
        "middle_name": "MIRANDA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "9730693-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEO",
            "last_name": "DE LA TORRE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Thomas F Calton, M.D.
• Care First Pharmacy LLC
• Andrew Chris, AMFT
• Guy T Cox, CNM
• Nicole Victoria Cundick, TRT
• Dorsett Counseling Services, PLLC
• Chandra Dorsett, MS, LAC
• Blake Fenton, D.C.
• Jenniferlyn Fletcher, PTA
• Nathan Gee, OTD, OTR/L

• Massage Therapist in Washington Terrace, UT
• Providers in Washington Terrace, UT by specialty
• Massage Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.