Active NPI
Rosa Corredera, LMT PTA
- Massage Therapist
- Lake Worth, FL
National Provider Identifier
1649364654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15407
- Practice address
- 5076 3Rd Road
Lake Worth, FL 33467 - Phone
- (561) 439-0102
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 20137 | FL | |
| Massage Therapist | 225700000X | 15407 | FL | Primary |
Addresses
Primary practice location
5076 3Rd Road
Lake Worth, FL 33467
Mailing address
5076 3Rd Road
Lake Worth, FL 33467
Phone (561) 439-0102
Other names 1
- Rosa Corredera Lecklitner
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 |
|---|---|---|---|
| 20137 | FL | MD | Physical Therapy Assistant |
| 15407 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1649364654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5076 3RD ROAD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33467",
"telephone_number": "561-439-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5076 3RD ROAD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33467",
"telephone_number": "561-439-0102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREDERA",
"first_name": "ROSA",
"credential": "LMT PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "20137",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "15407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROSA",
"last_name": "LECKLITNER",
"middle_name": "CORREDERA",
"credential": "LMT PTA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.