Active NPI
Rebekah Louise Leatherman, MASSAGE THERAPIST
- Massage Therapist
- New Orleans, LA
National Provider Identifier
1952012627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- LA9584
- Practice address
- 4908 Laine Ave
New Orleans, LA 70126-4432 - Phone
- (985) 265-6654
- NPI assigned
- Dec 13, 2022
- 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 | LA9584 | LA | Primary |
Addresses
Primary practice location
4908 Laine Ave
New Orleans, LA 70126-4432
Mailing address
Crescent Kinetic Massage
629 Cherokee St 105
New Oleans, LA 70118
Phone (504) 814-9582
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | MassageBook | Direct |
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 |
|---|---|---|---|
| LA9584 | LA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1952012627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CRESCENT KINETIC MASSAGE",
"address_2": "629 CHEROKEE ST 105",
"city": "NEW OLEANS",
"state": "LA",
"postal_code": "70118",
"telephone_number": "504-814-9582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4908 LAINE AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701264432",
"telephone_number": "985-265-6654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEATHERMAN",
"first_name": "REBEKAH",
"middle_name": "LOUISE",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-13",
"last_updated": "2022-12-13",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "LA",
"license": "LA9584",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "MassageBook",
"affiliation": "N",
"endpointDescription": "APP",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4908 Laine Ave",
"city": "New Orleans",
"state": "LA",
"country_code": "US",
"postal_code": "701264432",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.