Active NPI
Leonardo Trejo Cardoso
- Massage Therapist
- Orem, UT
National Provider Identifier
1659126142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13545987-4701
- Practice address
- 730 S Sleepy Ridge Dr Ste 330
Orem, UT 84059-2613 - Phone
- (385) 685-6995
- NPI assigned
- Apr 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 13545987-4701 | UT | Primary |
Addresses
Primary practice location
730 S Sleepy Ridge Dr Ste 330
Orem, UT 84059-2613
Mailing address
248 S 550 W Apt C8
Springville, UT 84663-5552
Phone (702) 626-6677
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 |
|---|---|---|---|
| 13545987-4701 | UT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1659126142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 S 550 W APT C8",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846635552",
"telephone_number": "702-626-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 S SLEEPY RIDGE DR STE 330",
"city": "OREM",
"state": "UT",
"postal_code": "840592613",
"telephone_number": "385-685-6995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREJO CARDOSO",
"first_name": "LEONARDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-18",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "13545987-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.