Active NPI
Stephanie Leest, LMT
- Massage Therapist
- Charleston, SC
National Provider Identifier
1124734090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10606
- Practice address
- 1916 Sam Rittenberg Blvd Apt 1004
Charleston, SC 29407-4882 - Phone
- (203) 376-3163
- NPI assigned
- Jan 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA96259 | FL | |
| Massage Therapist | 225700000X | MT135014 | TX | |
| Massage Therapist | 225700000X | 10606 | SC | Primary |
Addresses
Primary practice location
1916 Sam Rittenberg Blvd Apt 1004
Charleston, SC 29407-4882
Mailing address
1916 Sam Rittenberg Blvd Apt 1004
Charleston, SC 29407-4882
Phone (203) 376-3163
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 |
|---|---|---|---|
| 10606 | SC | MD | Physical Therapist |
| MA96259 | FL | MD | Massage Therapist |
| MT135014 | TX | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Neck & Back Care, LLC | Multi-Specialty | Past | Accepting new patients |
| Charleston Physical Medicine LLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1124734090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1916 SAM RITTENBERG BLVD APT 1004",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074882",
"telephone_number": "203-376-3163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1916 SAM RITTENBERG BLVD APT 1004",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074882",
"telephone_number": "203-376-3163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEEST",
"first_name": "STEPHANIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-25",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA96259",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT135014",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "SC",
"license": "10606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.