Individual provider Active NPI

Patrice Alicia Leys, LMT

  • Massage Therapist
  • Lauderhill, FL
National Provider Identifier
1700491677
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA63574 Issued in FL
Practice address
2022 NW 43Rd Ter Apt 6
Lauderhill, FL 33313-4340
Phone
(646) 543-8172
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X
Reflexologist 173C00000X MA63574 FL
Meals Provider 174200000X
Health Educator 174H00000X
Other Technician 247200000X
Health Service Clinic/Center 261QH0100X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA63574 FL Primary

Addresses

Primary practice location

2022 NW 43Rd Ter Apt 6
Lauderhill, FL 33313-4340

Mailing address

4046 N Goldenrod Rd # 183
Winter Park, FL 32792-8911
Phone (646) 543-8172

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL lbwcspa@gmail.com Health Information Exchange (HIE)
Other URL lbwcspa@gmail.com Other

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
MA63574FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1700491677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4046 N GOLDENROD RD # 183",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928911",
            "telephone_number": "646-543-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 NW 43RD TER APT 6",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333134340",
            "telephone_number": "646-543-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYS",
        "first_name": "PATRICE",
        "middle_name": "ALICIA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "FL",
            "license": "MA63574",
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA63574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lbwcspa@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2022 NW 43rd Ter Apt 6",
            "city": "Lauderhill",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333134340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lbwcspa@gmail.com",
            "affiliation": "N",
            "endpointDescription": "TExt context",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "health",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2022 NW 43rd Ter Apt 6",
            "city": "Lauderhill",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333134340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.