Leslie A Detienne

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

5934 US Highway 6
Portage, IN 46368-4946

Phone

(219) 762-7136

NPI assigned

May 28, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Rohe Therapy Inc.

  • Physical Therapist
  • Portage, IN
  • NPI 1467583591
  NPD (past)

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1760640759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 SIENNA AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463682560",
            "telephone_number": "219-840-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5934 US HIGHWAY 6",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463684946",
            "telephone_number": "219-762-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETIENNE",
        "first_name": "LESLIE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Delgado, PTA
• Veronica Deluna, RN
• Dependable Chiropractic, P.C.
• Ruchik S Desai, MD
• Shreyas Arvind Desai, M.D.
• Alexanadria Devon
• Dewar Chiropractic Inc.
• Daniel Raleigh Dewar, D.C.
• Bao Q Dinh, DDS
• Kathryn Dittmer, DVM

• Massage Therapist in Portage, IN
• Providers in Portage, IN by specialty
• Massage Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.