Lesa Sol Pensak

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

NVMT 328 Issued in NV

Practice address

770 Northwood Blvd
Incline Village, NV 89451-8284

Phone

(775) 443-8500

NPI assigned

Sep 30, 2008

Last updated

Oct 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1780834465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3353",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894503353",
            "telephone_number": "775-443-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 NORTHWOOD BLVD",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894518284",
            "telephone_number": "775-443-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENSAK",
        "first_name": "LESA",
        "middle_name": "SOL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NV",
            "license": "NVMT 328",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "NVMT 328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nevada Health Centers, Inc. (Incline Village Family Health Center)
• North Lake Tahoe Fire Protection District
• Tori Kathleen O'Connor, ATC
• Robert Oloroso, PHARMD
• Marie Louise Palu, PT
• Scott Wayne Perrenod, DNP-C
• Daniel L Peterson, MD
• Stacy Phillips
• Raleys
• Maria Anne Raslear, M.D.

• Massage Therapist in Incline Village, NV
• Providers in Incline Village, NV by specialty
• Massage Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.