Active NPI
Eric St. Pierre, LMT
- Massage Therapist
- Pensacola, FL
National Provider Identifier
1710483904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 81411
- Practice address
- 4305 Spanish TRL # RR
Pensacola, FL 32504-4942 - Phone
- (850) 293-3578
- NPI assigned
- Apr 5, 2018
- Sex
- Male
- 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 | 81411 | FL | Primary |
Addresses
Primary practice location
4305 Spanish TRL # RR
Pensacola, FL 32504-4942
Mailing address
6209 Chicago Ave
Pensacola, FL 32526-1311
Phone (850) 293-3578
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 |
|---|---|---|---|
| 81411 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1710483904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6209 CHICAGO AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325261311",
"telephone_number": "850-293-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4305 SPANISH TRL # RR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325044942",
"telephone_number": "850-293-3578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. PIERRE",
"first_name": "ERIC",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-05",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "81411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.