Individual provider Active NPI

Leslie J Sharp-Wood, L.M.T.

  • Massage Therapist
  • Tampa, FL
National Provider Identifier
1619137056
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA46534 Issued in FL
Practice address
5260 S Macdill Ave
Tampa, FL 33611-4094
Phone
(813) 789-3320
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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 MA46534 FL Primary

Addresses

Primary practice location

5260 S Macdill Ave
Tampa, FL 33611-4094

Mailing address

7118 Early Gold LN
Riverview, FL 33578-4317
Phone (813) 789-3320

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
MA46534FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1619137056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7118 EARLY GOLD LN",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784317",
            "telephone_number": "813-789-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5260 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336114094",
            "telephone_number": "813-789-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP-WOOD",
        "first_name": "LESLIE",
        "middle_name": "J",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA46534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 10, 2008; 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.