Active NPI
Kimi Hunt, CMT, LMT
- Massage Therapist
- Glendora, CA
National Provider Identifier
1033934609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 58811
- Practice address
- 1200 E Route 66 Ste 115
Glendora, CA 91740-6360 - Phone
- (909) 631-6012
- NPI assigned
- Nov 19, 2024
- Sex
- Female
- 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 | 58811 | CA | Primary |
Addresses
Primary practice location
1200 E Route 66 Ste 115
Glendora, CA 91740-6360
Mailing address
1200 E Route 66 Ste 115
Glendora, CA 91740-6360
Phone (909) 631-6012
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Worx Massage Therapy | Single Specialty | Current | Accepting new patients |
Locations
1200 E Route 66
Ste 115
Glendora, CA 91740
Phone (909) 631-6012
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1033934609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E ROUTE 66 STE 115",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917406360",
"telephone_number": "909-631-6012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E ROUTE 66 STE 115",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917406360",
"telephone_number": "909-631-6012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "KIMI",
"credential": "CMT, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-19",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CA",
"license": "58811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.