Individual provider Active NPI

Erin Leach

  • Massage Therapist
  • Rapid City, SD
National Provider Identifier
1265001887
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT11156 Issued in SD
Practice address
2040 W Main St Ste 312
Rapid City, SD 57702-2447
Phone
(605) 941-7174
Fax
(605) 231-4312
NPI assigned
Jun 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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 MT11156 SD Primary

Addresses

Primary practice location

2040 W Main St Ste 312
Rapid City, SD 57702-2447

Mailing address

629 S Minnesota Ave Ste 104
Sioux Falls, SD 57104-4875
Phone (605) 941-7174

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
MT11156SDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Body Massage Massage Therapist CurrentSince Jun 22, 2021 Accepting new patients

Locations

2040 W Main St
Ste 312
Rapid City, SD 57702
Phone (605) 519-5223

629 S Minnesota Ave
Ste 104
Sioux Falls, SD 57104

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1265001887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 S MINNESOTA AVE STE 104",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044875",
            "telephone_number": "605-941-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 W MAIN ST STE 312",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022447",
            "telephone_number": "605-941-7174",
            "fax_number": "605-231-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "ERIN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SD",
            "license": "MT11156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.