Individual provider Active NPI

Leissy Zgraggen Torra, LMT

  • Massage Therapist
  • Tampa, FL
National Provider Identifier
1538775622
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA95671 Issued in FL
Practice address
205 W Bush Blvd
Tampa, FL 33612-7900
Phone
(616) 591-8113
Fax
(813) 569-0588
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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 MA95671 FL Primary

Addresses

Primary practice location

205 W Bush Blvd
Tampa, FL 33612-7900

Mailing address

1111 W Knollwood St
Tampa, FL 33604-6419
Phone (616) 591-8113

Other names 1

  • Mrs. Leissy Zgraggen Torra Former name

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
MA95671FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1538775622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W KNOLLWOOD ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336046419",
            "telephone_number": "616-591-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W BUSH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127900",
            "telephone_number": "616-591-8113",
            "fax_number": "813-569-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZGRAGGEN TORRA",
        "first_name": "LEISSY",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA95671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEISSY",
            "last_name": "ZGRAGGEN TORRA",
            "prefix": "MRS.",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.