Active NPI
Laura Ann Lee, LMT
- Massage Therapist
- Tampa, FL
National Provider Identifier
1851987101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA51617
- Practice address
- 3500 E Fletcher Ave Ste 121
Tampa, FL 33613-4789 - Phone
- (813) 431-2086
- NPI assigned
- Dec 20, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT10055 | FL | |
| Massage Therapist | 225700000X | MA51617 | FL | Primary |
Addresses
Primary practice location
3500 E Fletcher Ave Ste 121
Tampa, FL 33613-4789
Mailing address
521 Carriage Hills Dr
Temple Terrace, FL 33617-3715
Phone (813) 431-2086
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 |
|---|---|---|---|
| MA51617 | FL | MD | Massage Therapist |
| OT10055 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608422400000",
"number": "1851987101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 CARRIAGE HILLS DR",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336173715",
"telephone_number": "813-431-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 E FLETCHER AVE STE 121",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134789",
"telephone_number": "813-431-2086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LAURA",
"middle_name": "ANN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-20",
"last_updated": "2020-12-20",
"certification_date": "2020-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT10055",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA51617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.