Active NPI
Leticia Beck
- Massage Therapist
- Kissimmee, FL
National Provider Identifier
1821591306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60529
- Practice address
- 1060 Cypress Pkwy Ste 104
Kissimmee, FL 34759-3328 - Phone
- (407) 914-9168
- Fax
- (407) 337-8005
- NPI assigned
- Mar 12, 2018
- Sex
- Female
- Sole proprietor
- No
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 | MA60529 | FL | Primary |
Addresses
Primary practice location
1060 Cypress Pkwy Ste 104
Kissimmee, FL 34759-3328
Mailing address
103 Appian Way
Kissimmee, FL 34758-3919
Phone (727) 243-1414
Other names 1
- Leticia Thompson
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 |
|---|---|---|---|
| MA60529 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C3 Wellness, LLC | Massage Therapist | Current | Accepting new patients |
Locations
1060 Cypress Pkwy
Ste 104
Kissimmee, FL 34759
Phone 4079149168 ext. 1
1060 Cypress Pkwy
Unit 104
Kissimmee, FL 34759
394 Village Dr
Kissimmee, FL 34759
Phone (407) 914-9168
395 Village Dr
Poinciana, FL 34759
Phone 4079149168 ext. 2
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": "1520812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682726400000",
"number": "1821591306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 APPIAN WAY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347583919",
"telephone_number": "727-243-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 CYPRESS PKWY STE 104",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347593328",
"telephone_number": "407-914-9168",
"fax_number": "407-337-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "LETICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-12",
"last_updated": "2023-04-29",
"certification_date": "2023-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA60529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LETICIA",
"last_name": "THOMPSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kissimmee, FL
- Jaida Liana Beauvais, RBT
- Consolacion Liceth Becerra, RN-BC
- Sylvia Bechara, PSY.D.
- Annia Beck, DO 7292
- Hayley Beck, MA, R-DMT
- Winston Grover Bedford Jr., D.M.D., M.D.
- Behavioral Mind Wellness: Evaluation, Prevention & Treatment
- Behavioral Multidisciplinary Center Corp
- Behavioral Support Services
- Behavioral Support Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.