Phillip Joseph Jr., LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

70101 Issued in CA

Practice address

5044 Woodminster LN
Oakland, CA 94602-2614

Phone

(510) 919-4852

NPI assigned

Oct 23, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Theology

State licenses

Practice roles

Locations

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.

• Clinical Massage Services LLC

  • Pain Clinic/Center
  • Oakland, CA
  • NPI 1457073900
  NPD Authorized official

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1083486203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 7TH ST # 23971",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946150002",
            "telephone_number": "510-919-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5044 WOODMINSTER LN",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946022614",
            "telephone_number": "510-919-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "PHILLIP",
        "name_suffix": "Jr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "70101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Joseph
• Gail Cassandra Joseph, AMFT
• Jay J. Joseph, PSY.D.
• Joachim Olawale Joseph, CNA
• Kimatakaya M Joseph, CMT
• Randy Joseph
• Samantha Joseph, LCSW
• Shaina Lucie Joseph
• Tamara Joseph
• Tracy Henderson Joseph, PHD

• Massage Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.