Active NPI
Joshua Macleod, L.M.T.
- Massage Therapist
- Lake Mary, FL
National Provider Identifier
1992931463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA-30032
- Practice address
- 3577 Lake Emma Rd
109
Lake Mary, FL 32746-2056 - Phone
- (407) 936-0314
- Fax
- (407) 936-0315
- NPI assigned
- Jun 10, 2009
- Sex
- Male
- 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 | MA-30032 | FL | Primary |
Addresses
Primary practice location
3577 Lake Emma Rd
109
Lake Mary, FL 32746-2056
Mailing address
3577 Lake Emma Rd
109
Lake Mary, FL 32746-2056
Phone (407) 936-0314
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 |
|---|---|---|---|
| MA-30032 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Envision Physical Therapy, Inc | Past | 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 and National Provider Directory roles.
-
- Clinic/Center
- Lake Mary, FL
- NPI 1437301025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244592000000",
"number": "1992931463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3577 LAKE EMMA RD",
"address_2": "109",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462056",
"telephone_number": "407-936-0314",
"fax_number": "407-936-0315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3577 LAKE EMMA RD",
"address_2": "109",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462056",
"telephone_number": "407-936-0314",
"fax_number": "407-936-0315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLEOD",
"first_name": "JOSHUA",
"name_prefix": "Mr.",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-10",
"last_updated": "2009-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA-30032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.