Active NPI
Erica Leinbach, LMP
- Massage Therapist
- Issaquah, WA
National Provider Identifier
1457904633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60969078
- Practice address
- 680 NW Gilman Blvd Ste a
Issaquah, WA 98027-2454 - Phone
- (425) 427-6562
- NPI assigned
- Jul 17, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 60969078 | WA | Primary |
Addresses
Primary practice location
680 NW Gilman Blvd Ste a
Issaquah, WA 98027-2454
Mailing address
447 Main Ave S Apt 21
North Bend, WA 98045-8247
Phone (425) 295-1905
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 |
|---|---|---|---|
| 60969078 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1457904633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 MAIN AVE S APT 21",
"city": "NORTH BEND",
"state": "WA",
"postal_code": "980458247",
"telephone_number": "425-295-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 NW GILMAN BLVD STE A",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272454",
"telephone_number": "425-427-6562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEINBACH",
"first_name": "ERICA",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-17",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60969078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.