Individual provider Active NPI

Lena Roberts, LMT

  • Massage Therapist
  • St Petersburg, FL
National Provider Identifier
1639696222
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA65921 Issued in FL
Practice address
19 Dr Martin Luther King Jr St S
Saint Petersburg, FL 33705-1616
Phone
(727) 822-8866
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 MA65921 FL Primary

Addresses

Primary practice location

19 Dr Martin Luther King Jr St S
Saint Petersburg, FL 33705-1616

Mailing address

19 Dr Martin Luther King Jr St S
Saint Petersburg, FL 33705-1616
Phone (727) 822-8866

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
MA65921FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Warriors Wellness Center CurrentSince Jul 24, 2022 Accepting new patients

Locations

19 Dr Martin Luther King Jr St S
St Petersburg, FL 33705
Phone (727) 822-8866

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": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639696222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DR MARTIN LUTHER KING JR ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337051616",
            "telephone_number": "727-822-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DR MARTIN LUTHER KING JR ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337051616",
            "telephone_number": "727-822-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LENA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA65921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.