Individual provider Active NPI

Danielle Deleonardo, LMT

  • Massage Therapist
  • Pompton Plains, NJ
National Provider Identifier
1821487919
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18KT0087100 Issued in NJ
Practice address
142 Route 23 Ste D
Pompton Plains, NJ 07444-2000
Phone
(201) 637-2295
NPI assigned
Jan 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X
Rehabilitation Practitioner 225400000X
Massage Therapist 225700000X 18KT0087100 NJ Primary

Addresses

Primary practice location

142 Route 23 Ste D
Pompton Plains, NJ 07444-2000

Mailing address

142 Route 23
Pompton Plains, NJ 07444-2000
Phone (862) 262-1060

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
18KT0087100NJMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Good Life Massage, LLC Massage Therapist CurrentSince Dec 21, 2021 Accepting new patients

Locations

142 Route 23
Ste D
Pompton Plains, NJ 07444
Phone (201) 637-2295

50 Galesi Dr
Ste 25
Wayne, NJ 07470

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": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1821487919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 ROUTE 23",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074442000",
            "telephone_number": "862-262-1060",
            "fax_number": "973-532-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 ROUTE 23 STE D",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074442000",
            "telephone_number": "201-637-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEONARDO",
        "first_name": "DANIELLE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2021-12-14",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT0087100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Plains, NJ

Sources for this page

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

Verify at the official NPI Registry.