Sports Medicine Institute International

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SPORTS MEDICINE INSTITUTE INTERNATIONAL

Practice address

260 Sheridan Ave Ste B40
Palo Alto, CA 94306-2054

Phone

(650) 322-2809

Fax

(650) 325-6980

NPI assigned

Feb 11, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Kendra Fadil

Title

Executive Director

Phone

(650) 322-2809

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1003448614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 SHERIDAN AVE STE B40",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943062054",
            "telephone_number": "650-322-2809",
            "fax_number": "650-325-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 SHERIDAN AVE STE B40",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943062054",
            "telephone_number": "650-322-2809",
            "fax_number": "650-325-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE INSTITUTE INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "FADIL",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "650-322-2809",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Spirakis, RD
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• Brett Spitnale, MD
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• Marilyn Anne Sponza, M.F.T.
• Janet M. Spraggins, MD
• Spring Advanced Acupuncture
• Spring Wellness Center Inc
• Mary E. Spring, NP
• Alisa Springer

• Massage Therapist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.