Individual provider Active NPI

Leonard Lovett Jr., L.M.T,

  • Massage Therapist
  • Waterbury, CT
National Provider Identifier
1740582626
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
10652 Issued in CT
Practice address
93 Meriden Rd
Waterbury, CT 06705-1933
Phone
(475) 689-8324
NPI assigned
Nov 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X #MA54724 FL
Massage Therapist 225700000X 10652 CT Primary

Addresses

Primary practice location

93 Meriden Rd
Waterbury, CT 06705-1933

Mailing address

133 South St Apt 1
Waterbury, CT 06706-1789
Phone (475) 689-8324

Other practice location 1

478 S Main St
Cheshire, CT 06410-3117
Phone (475) 689-8324

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
#MA54724FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1290643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1740582626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 SOUTH ST APT 1",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061789",
            "telephone_number": "475-689-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MERIDEN RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051933",
            "telephone_number": "475-689-8324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "478 S Main St",
            "address_purpose": "LOCATION",
            "city": "Cheshire",
            "state": "CT",
            "postal_code": "064103117",
            "country_code": "US",
            "telephone_number": "475-689-8324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVETT",
        "first_name": "LEONARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "L.M.T,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "#MA54724",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CT",
            "license": "10652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.