Individual provider Active NPI

Albert John Lenowicz, LMT, NMT

  • Massage Therapist
  • Colorado Springs, CO
National Provider Identifier
1619683935
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0025468 Issued in CO
Practice address
4224 N Nevada Ave Ste 200
Colorado Springs, CO 80907-4368
Phone
(315) 807-6776
NPI assigned
Jan 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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 MT.0025468 CO Primary

Addresses

Primary practice location

4224 N Nevada Ave Ste 200
Colorado Springs, CO 80907-4368

Mailing address

3246 Centennial Blvd # 221
Colorado Springs, CO 80907-4077
Phone (315) 807-6776

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
MT.0025468COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Sports Massage LLC Massage Therapist CurrentSince Feb 8, 2023 Accepting new patients

Locations

3246 Centennial Blvd
Colorado Springs, CO 80907
Phone (719) 204-1216

4224 N Nevada Ave
Ste 200
Colorado Springs, CO 80907
Phone (315) 807-6776

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1619683935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3246 CENTENNIAL BLVD # 221",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074077",
            "telephone_number": "315-807-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 N NEVADA AVE STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074368",
            "telephone_number": "315-807-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENOWICZ",
        "first_name": "ALBERT",
        "middle_name": "JOHN",
        "credential": "LMT, NMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0025468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.