Individual provider Active NPI

Lisakatie Siar

  • Massage Therapist
  • Stockton, CA
National Provider Identifier
1053241497
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
97241 Issued in CA
Practice address
633 Lincoln Ctr
Stockton, CA 95207-2642
Phone
(209) 298-2320
NPI assigned
May 19, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 97241 CA Primary

Addresses

Primary practice location

633 Lincoln Ctr
Stockton, CA 95207-2642

Mailing address

1247 Green Ridge Dr
Stockton, CA 95209-4538
Phone (209) 298-2320

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

NPI Registry JSON

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1053241497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 GREEN RIDGE DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952094538",
            "telephone_number": "209-298-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 LINCOLN CTR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952072642",
            "telephone_number": "209-298-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAR",
        "first_name": "LISAKATIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "97241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.