Individual provider Active NPI

Lela O Holmes, LMT

  • Massage Therapist
  • Eagle Mountain, UT
National Provider Identifier
1891489134
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
11339883-4701 Issued in UT
Practice address
3435 E Pony Express Pkwy Ste 120
Eagle Mountain, UT 84005-5520
Phone
(801) 996-7977
NPI assigned
Jun 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 11339883-4701 UT Primary

Addresses

Primary practice location

3435 E Pony Express Pkwy Ste 120
Eagle Mountain, UT 84005-5520

Mailing address

63 E 800 N
Spanish Fork, UT 84660-1210
Phone (801) 798-8750

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
11339883-4701UTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Spa & Float - Eagle Mountain LLC CurrentSince Jun 11, 2023 Accepting new patients

Locations

3435 E Pony Express Pkwy
Ste 120
Eagle Mountain, UT 84005
Phone (801) 996-7911

63 E 800 N
Spanish Fork, UT 84660
Phone (435) 660-9623

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": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1891489134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 E 800 N",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601210",
            "telephone_number": "801-798-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 E PONY EXPRESS PKWY STE 120",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055520",
            "telephone_number": "801-996-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "LELA",
        "middle_name": "O",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "11339883-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Mountain, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.