Erica Storck, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227009678 Issued in IL

Practice address

102 Greenview Dr
Effingham, IL 62401-3048

Phone

(217) 663-4454

NPI assigned

Feb 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1356932172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 E 1075 AVE",
            "city": "FARINA",
            "state": "IL",
            "postal_code": "628382121",
            "telephone_number": "217-663-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GREENVIEW DR",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013048",
            "telephone_number": "217-663-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORCK",
        "first_name": "ERICA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": "227009678",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227009678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Stewart, RN/C, APN
• Patrick Kyle Stewart, M.D.
• William Kevin Stewart, LCPC
• Kourtney Stombaugh
• Bethany Renee Stone
• Sara Stremming, MPH
• Beth Stundon
• Nichole Suzanne Suckow, PA-C
• Katherine A Summers
• Rosalie Swaine, OTR

• Massage Therapist in Effingham, IL
• Providers in Effingham, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.