Active NPI
Erica Weaver, LMT
- Massage Therapist
- Colorado Springs, CO
National Provider Identifier
1457780025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0012422
- Practice address
- 127 E Las Animas St
Colorado Springs, CO 80903-4137 - Phone
- (719) 598-3861
- NPI assigned
- Nov 4, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0012422 | CO | Primary |
Addresses
Primary practice location
127 E Las Animas St
Colorado Springs, CO 80903-4137
Mailing address
1330 Doyle PL
Colorado Springs, CO 80915-2346
Phone (719) 598-3861
Other names 1
- Erica Feller
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 |
|---|---|---|---|
| 0012422 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1457780025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 DOYLE PL",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809152346",
"telephone_number": "719-598-3861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 E LAS ANIMAS ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809034137",
"telephone_number": "719-598-3861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "ERICA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "0012422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERICA",
"last_name": "FELLER",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.