Individual provider Active NPI

Stephanie Leest, LMT

  • Massage Therapist
  • Charleston, SC
National Provider Identifier
1124734090
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
10606 Issued in SC
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

Updated by the provider on Jun 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA96259 FL
Massage Therapist 225700000X MT135014 TX
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
10606SCMDPhysical Therapist
MA96259FLMDMassage Therapist
MT135014TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Neck & Back Care, LLC Multi-Specialty PastSince Jan 1, 2023 Accepting new patients
Charleston Physical Medicine LLC Multi-Specialty PastSince Aug 25, 2024 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.

Verify at the official NPI Registry.