Individual provider Active NPI

Leung Yin Leuer

  • Massage Therapist
  • St Augustine, FL
National Provider Identifier
1487242822
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA96401 Issued in FL
Practice address
110 San Briso Way
St Augustine, FL 32092-3116
Phone
(718) 300-8692
NPI assigned
Dec 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 029489 NY
Massage Therapist 225700000X 18KT01291500 NJ
Massage Therapist 225700000X MA96401 FL Primary

Addresses

Primary practice location

110 San Briso Way
St Augustine, FL 32092-3116

Mailing address

110 San Briso Way
St Augustine, FL 32092-3116
Phone (718) 300-8692

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
MA96401FLMDMassage Therapist
18KT01291500NJMDMassage Therapist
029489NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1487242822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SAN BRISO WAY",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923116",
            "telephone_number": "718-300-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SAN BRISO WAY",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923116",
            "telephone_number": "718-300-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUER",
        "first_name": "LEUNG",
        "middle_name": "YIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "029489",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT01291500",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA96401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.