Individual provider Active NPI

Leah Quispe, MASSAGE THERAPIST

  • Massage Therapist
  • Juno Beach, FL
National Provider Identifier
1497970396
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA42669 Issued in FL
Practice address
570 Ocean Dr
#501
Juno Beach, FL 33408-1952
Phone
(954) 491-2225
Fax
(954) 491-6862
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA42669 FL Primary

Addresses

Primary practice location

570 Ocean Dr
#501
Juno Beach, FL 33408-1952

Mailing address

6301 N University Dr
Apt 112
Tamarac, FL 33321-4035
Phone (954) 718-3957

Other identifiers 1

IdentifierTypeStateIssuer
MA42669OtherFLMASSAGE LICENSE

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

LicenseStateTypeSpecialty
MA42669FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Massage & Wellness Clinics Massage Therapist Past Accepting new patients

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497970396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 N UNIVERSITY DR",
            "address_2": "APT 112",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214035",
            "telephone_number": "954-718-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 OCEAN DR",
            "address_2": "#501",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334081952",
            "telephone_number": "954-491-2225",
            "fax_number": "954-491-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUISPE",
        "first_name": "LEAH",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA42669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "MA42669",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juno Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.