Individual provider Active NPI

Lisa Alleyne, LMT

  • Massage Therapist
  • Orange Park, FL
National Provider Identifier
1912759507
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA95122 Issued in FL
Practice address
294 Fawnridge LN
Orange Park, FL 32073-1928
Phone
(407) 723-7998
NPI assigned
Apr 5, 2024
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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 MA95122 FL Primary

Addresses

Primary practice location

294 Fawnridge LN
Orange Park, FL 32073-1928

Mailing address

294 Fawnridge LN
Orange Park, FL 32073-1928
Phone (407) 723-7998

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
MA95122FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alleyne Somatics LLC Massage Therapist PastSince Apr 9, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1912759507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 FAWNRIDGE LN",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320731928",
            "telephone_number": "407-723-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 FAWNRIDGE LN",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320731928",
            "telephone_number": "407-723-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEYNE",
        "first_name": "LISA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA95122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.