Active NPI
Queenetta Leflore Jr.
- Massage Therapist
- Atlanta, GA
National Provider Identifier
1588271423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT012960
- Practice address
- 1475 Sand Bay Dr SW Apt 3007
Atlanta, GA 30331-8989 - Phone
- (571) 235-9967
- NPI assigned
- Sep 24, 2020
- 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 | MT012960 | GA | Primary |
Addresses
Primary practice location
1475 Sand Bay Dr SW Apt 3007
Atlanta, GA 30331-8989
Mailing address
1475 Sand Bay Dr SW Apt 3007
Atlanta, GA 30331-8989
Phone (571) 235-9967
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT012960 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1588271423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 SAND BAY DR SW APT 3007",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303318989",
"telephone_number": "571-235-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 SAND BAY DR SW APT 3007",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303318989",
"telephone_number": "571-235-9967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFLORE",
"first_name": "QUEENETTA",
"name_prefix": "Ms.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-24",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT012960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
- Danielle Mitchell Leffler, PA-C
- Harold Joseph Lefkoff, M.D.
- Lawrence Lefkoff, M.D.
- Benjamin Abraham Lefkove, M.D.
- Andra Michal Lefkovits-Zolty
- Legacy Brain & Spine LLC (Legacy Brain & Spine-Atlanta)
- Legacy Care Staffing, LLC
- Legacy Center for Spinal Surgery, LLC
- Legacy Health Services, LLC
- Legacy Home Healthcare Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.