Active NPI
Lela O Holmes, LMT
- Massage Therapist
- Eagle Mountain, UT
National Provider Identifier
1891489134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11339883-4701
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11339883-4701 | UT | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Spa & Float - Eagle Mountain LLC | Current | 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.
-
- Health Service Clinic/Center
- Eagle Mountain, UT
- NPI 1154048650
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.