Active NPI
Erich Santine Tyler
- Massage Therapist
- Phenix City, AL
National Provider Identifier
1760280473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT010072
- Practice address
- 2710 Creekstone CT
Phenix City, AL 36867-2402 - Phone
- (706) 940-9429
- NPI assigned
- Mar 6, 2025
- Last updated
- Mar 6, 2025
- 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 | MT010072 | GA | Primary |
Addresses
Primary practice location
2710 Creekstone CT
Phenix City, AL 36867-2402
Mailing address
2710 Creekstone CT
Phenix City, AL 36867-2402
Phone (706) 940-9429
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 |
|---|---|---|---|
| MT010072 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1760280473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 CREEKSTONE CT",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368672402",
"telephone_number": "706-940-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 CREEKSTONE CT",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368672402",
"telephone_number": "706-940-9429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "ERICH",
"middle_name": "SANTINE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-06",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT010072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phenix City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.