Individual provider Active NPI

Leah M Rearick, LMT

  • Massage Therapist
  • Middleburg HTS, OH
National Provider Identifier
1992082754
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
#3159 Issued in OH
Practice address
17900 Jefferson Park
Ste 101
Middleburg HTS., OH 44130-3437
Phone
(440) 891-6299
Fax
(440) 891-6899
NPI assigned
Nov 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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 #3159 OH Primary

Addresses

Primary practice location

17900 Jefferson Park
Ste 101
Middleburg HTS., OH 44130-3437

Mailing address

17900 Jefferson Park
Ste 101
Middleburg HTS., OH 44130-3437
Phone (440) 891-6299

Other identifiers 1

IdentifierTypeStateIssuer
2353528MedicaidOH

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
#3159OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Park Spine Specialists, LLC PastSince Jan 16, 2009 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": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1992082754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17900 JEFFERSON PARK",
            "address_2": "STE 101",
            "city": "MIDDLEBURG HTS.",
            "state": "OH",
            "postal_code": "441303437",
            "telephone_number": "440-891-6299",
            "fax_number": "440-891-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 JEFFERSON PARK",
            "address_2": "STE 101",
            "city": "MIDDLEBURG HTS.",
            "state": "OH",
            "postal_code": "441303437",
            "telephone_number": "440-891-6299",
            "fax_number": "440-891-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARICK",
        "first_name": "LEAH",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "#3159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2353528",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.