Active NPI
Leslie Lynn Dorn, LMT
- Massage Therapist
- Western Springs, IL
National Provider Identifier
1750659207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227006115
- Practice address
- 915 55TH St
Suite 101
Western Springs, IL 60558-2218 - Phone
- (708) 415-6896
- NPI assigned
- Dec 12, 2011
- 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 | 227006115 | IL | Primary |
Addresses
Primary practice location
915 55TH St
Suite 101
Western Springs, IL 60558-2218
Mailing address
519 55TH Street
Suite 101
Western Spirngs, IL 60558-2268
Phone (708) 415-6896
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 |
|---|---|---|---|
| 227006115 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1750659207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 55TH STREET",
"address_2": "SUITE 101",
"city": "WESTERN SPIRNGS",
"state": "IL",
"postal_code": "605582268",
"telephone_number": "708-415-6896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 55TH ST",
"address_2": "SUITE 101",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605582218",
"telephone_number": "708-415-6896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORN",
"first_name": "LESLIE",
"middle_name": "LYNN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227006115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Western Springs, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.