Individual provider Active NPI

Trina Sanford, LMT

  • Massage Therapist
  • Chicago, IL
National Provider Identifier
1093466815
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227018610 Issued in IL
Practice address
1400 N Lake Shore Drive Apt 9a
Address 2 (Optional)
Chicago, IL 60610-6615
Phone
(312) 522-4216
NPI assigned
Jan 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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 227018610 IL Primary

Addresses

Primary practice location

1400 N Lake Shore Drive Apt 9a
Address 2 (Optional)
Chicago, IL 60610-6615

Mailing address

1400 N Lake Shore Drive Apt 9a
Address 2 (Optional)
Chicago, IL 60610-6615
Phone (312) 522-4216

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

LicenseStateTypeSpecialty
227018610ILMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1093466815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N LAKE SHORE DRIVE APT 9A",
            "address_2": "ADDRESS 2 (OPTIONAL)",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606106615",
            "telephone_number": "312-522-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N LAKE SHORE DRIVE APT 9A",
            "address_2": "ADDRESS 2 (OPTIONAL)",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606106615",
            "telephone_number": "312-522-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "TRINA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227018610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.