Active NPI
Leesa Avocado Fox, CMT
- Massage Therapist
- Rohnert Park, CA
National Provider Identifier
1700637535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 6513
- Practice address
- 5425 Snyder LN Apt 113
Rohnert Park, CA 94928-2940 - Phone
- (408) 464-4359
- NPI assigned
- Mar 29, 2024
- Last updated
- Mar 29, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 6513 | CA | Primary |
Addresses
Primary practice location
5425 Snyder LN Apt 113
Rohnert Park, CA 94928-2940
Mailing address
5425 Snyder LN Apt 113
Rohnert Park, CA 94928-2940
Phone (408) 464-4359
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 |
|---|---|---|---|
| 6513 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1700637535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5425 SNYDER LN APT 113",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949282940",
"telephone_number": "408-464-4359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5425 SNYDER LN APT 113",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949282940",
"telephone_number": "408-464-4359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "LEESA",
"middle_name": "AVOCADO",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-29",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "6513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rohnert Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.