Active NPI
Bonni Kelley, CMT
- Massage Therapist
- Morgan Hill, CA
National Provider Identifier
1063996460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 23614
- Practice address
- 35 E 1St St Ste a
Morgan Hill, CA 95037-7321 - Phone
- (408) 612-8835
- Fax
- (408) 612-3435
- NPI assigned
- Sep 20, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 23614 | CA | Primary |
Addresses
Primary practice location
35 E 1St St Ste a
Morgan Hill, CA 95037-7321
Mailing address
35 E 1St St Ste a
Morgan Hill, CA 95037-7321
Phone (408) 612-8835
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 |
|---|---|---|---|
| 23614 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1063996460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 E 1ST ST STE A",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950377321",
"telephone_number": "408-612-8835",
"fax_number": "408-612-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 E 1ST ST STE A",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950377321",
"telephone_number": "408-612-8835",
"fax_number": "408-612-3435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "BONNI",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-20",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "23614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgan Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.