Active NPI
Leslie Moore, L.M.T.
- Massage Therapist
- Perrysburg, OH
National Provider Identifier
1528462546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.020331-L-M
- Practice address
- 2160 Preston Pkwy
Perrysburg, OH 43551-7254 - Phone
- (567) 246-9101
- NPI assigned
- Oct 20, 2014
- 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 | 33.020331-L-M | OH | Primary |
Addresses
Primary practice location
2160 Preston Pkwy
Perrysburg, OH 43551-7254
Mailing address
12331 Waterstone LN
Apt 717
Perrysburg, OH 43551-3045
Phone (567) 246-9101
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
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33.020331-L-M | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413763200000",
"number": "1528462546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12331 WATERSTONE LN",
"address_2": "APT 717",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435513045",
"telephone_number": "567-246-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 PRESTON PKWY",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435517254",
"telephone_number": "567-246-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "LESLIE",
"name_prefix": "Ms.",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-20",
"last_updated": "2014-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.020331-L-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.