Active NPI
Leah Marie Bennett, LMT
- Massage Therapist
- Mattydale, NY
National Provider Identifier
1801485784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 032267
- Practice address
- 2605 Brewerton Rd
Mattydale, NY 13211-1147 - Phone
- (315) 455-9355
- NPI assigned
- Jan 14, 2021
- 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 | 032267 | NY | Primary |
Addresses
Primary practice location
2605 Brewerton Rd
Mattydale, NY 13211-1147
Mailing address
227 E Grove St
Oneida, NY 13421-2405
Phone (315) 991-9162
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cltoperations, LLC | Past | Accepting new patients |
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": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1801485784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 E GROVE ST",
"city": "ONEIDA",
"state": "NY",
"postal_code": "134212405",
"telephone_number": "315-991-9162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 BREWERTON RD",
"city": "MATTYDALE",
"state": "NY",
"postal_code": "132111147",
"telephone_number": "315-455-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "LEAH",
"middle_name": "MARIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-14",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "032267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mattydale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.