Letecia Newman, LMT,NCTMB

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA53044 Issued in FL

Practice address

7645 Merrill Rd Ste 104
Jacksonville, FL 32277-6576

Phone

(904) 962-4006

Fax

(904) 768-9840

NPI assigned

Dec 28, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1902142557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 JAPONICA RD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322092056",
            "telephone_number": "904-962-4006",
            "fax_number": "904-768-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7645 MERRILL RD STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322776576",
            "telephone_number": "904-962-4006",
            "fax_number": "904-768-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "LETECIA",
        "credential": "LMT,NCTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA53044",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT106208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Newman, OTD, OTR/L
• Dominique Newman
• Eric Bryce Newman, MD
• Jaclyn Waddey Newman, MD
• Johanna Newman, CRNA
• Melissa Newman, PT, DPT
• Nathan P Newman, M.D.
• Sophia Skye Newman
• Kailyn Newmans
• Leslie Ann Newmeyer, M.ED., CCC-A

• Massage Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.