Individual provider Active NPI

Leonia Glover

  • Massage Therapist
  • Phila, PA
National Provider Identifier
1720872807
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG006325 Issued in PA
Practice address
10980 Norcom Rd
Phila, PA 19154-2302
Phone
(215) 677-1149
NPI assigned
Apr 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MSG006325 PA Primary

Addresses

Primary practice location

10980 Norcom Rd
Phila, PA 19154-2302

Mailing address

1532 Saint Luke St
Phila, PA 19140-1923
Phone (267) 688-7823

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
MSG006325PAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Physical Therapy & Fitness LLC Single Specialty CurrentSince Apr 6, 2025 Accepting new patients

Locations

10980 Norcom Rd
Philadelphia, PA 19154
Phone (215) 677-1149

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": "1743811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743811200000",
    "number": "1720872807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 SAINT LUKE ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191401923",
            "telephone_number": "267-688-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10980 NORCOM RD",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191542302",
            "telephone_number": "215-677-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "LEONIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-05",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG006325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.