Lesley Vandersarl, LMT, ICNMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT0002657 Issued in CO

Practice address

127 E Las Animas St
Colorado Springs, CO 80903-4137

Phone

(719) 306-6149

NPI assigned

Oct 20, 2021

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

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1538822002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 E CACHE LA POUDRE ST APT 127",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809094978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E LAS ANIMAS ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034137",
            "telephone_number": "719-306-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERSARL",
        "first_name": "LESLEY",
        "credential": "LMT, ICNMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT0002657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Kayris Vandergast, OTR/L
• Ashley Vanderjagt, PA-C, MMS
• Ethan Vanderlinde
• Barbara Anita Vanderpol, CLINICAL PSYCHOLOGIS
• Cynthia Marie Vanders, PT
• Alicia Vandersluis, M.D.
• Brenda Vanderwel, PA-C
• Joshua Daniel Vanderwerf, M.D.
• Scott Vandeveer, MD
• Andrew D Vandyke, LPC, CGP

• Massage Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.