Judith Kay Leppanen, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA0026189 Issued in FL

Practice address

3410 E Debazan Ave
St Pete Beach, FL 33706-4064

Phone

(727) 367-0151

Fax

(727) 360-5026

NPI assigned

Mar 9, 2011

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

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.

• Seaside Massage Therapy Center, Inc.

  • Massage Therapist
  • St Pete Beach, FL
  • NPI 1518265909
  NPD (past) Authorized official

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1497053896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 GULF BLVD",
            "address_2": "SUITE 113",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337062462",
            "telephone_number": "727-367-0151",
            "fax_number": "727-360-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 E DEBAZAN AVE",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337064064",
            "telephone_number": "727-367-0151",
            "fax_number": "727-360-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPPANEN",
        "first_name": "JUDITH",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA0026189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela R Jacques, PTA
• Simone D Kelly, LMT
• Nathan Zachary Kiebler, PHARMD
• Patricia Ann Kravits, LMT
• Robert R Lazzara, MD
• Level Up Consulting Group
• Allen Lindsay, PH.D
• Carol Macedo, COTA
• Courtney Mayor, D.M.D.
• Tracy L McGaughey, PHARM D

• Massage Therapist in St Pete Beach, FL
• Providers in St Pete Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.