Active NPI
Alycia Marie Leclaire, L.M.T.
- Massage Therapist
- Cleveland, TN
National Provider Identifier
1497007686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0000007008
- Practice address
- 170 N Ocoee St
Suite 103
Cleveland, TN 37311-5079 - Phone
- (423) 584-9889
- NPI assigned
- Oct 11, 2012
- 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 | 0000007008 | TN | Primary |
Addresses
Primary practice location
170 N Ocoee St
Suite 103
Cleveland, TN 37311-5079
Mailing address
170 N Ocoee St
Suite 103
Cleveland, TN 37311-5079
Phone (423) 584-9889
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 |
|---|---|---|---|
| 0000007008 | TN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1497007686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 N OCOEE ST",
"address_2": "SUITE 103",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373115079",
"telephone_number": "423-584-9889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 N OCOEE ST",
"address_2": "SUITE 103",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373115079",
"telephone_number": "423-584-9889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECLAIRE",
"first_name": "ALYCIA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-11",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TN",
"license": "0000007008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.