Active NPI
Ann Wayman, L.M.T.
- Massage Therapist
- Huntington Beach, CA
National Provider Identifier
1093954596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- A265240
- Practice address
- 16511 Goldenwest St Ste 111
Huntington Beach, CA 92647-4484 - Phone
- (714) 891-3201
- NPI assigned
- Feb 7, 2009
- 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 | A265240 | CA | Primary |
Addresses
Primary practice location
16511 Goldenwest St Ste 111
Huntington Beach, CA 92647-4484
Mailing address
5762 Spa Dr
Huntington Beach, CA 92647-2027
Phone (714) 642-4544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431739-00 | Other | CA | NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE & BODYWORK |
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 |
|---|---|---|---|
| A265240 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1093954596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5762 SPA DR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926472027",
"telephone_number": "714-642-4544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16511 GOLDENWEST ST STE 111",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926474484",
"telephone_number": "714-891-3201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYMAN",
"first_name": "ANN",
"name_prefix": "Mrs.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-07",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "A265240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE & BODYWORK",
"identifier": "431739-00",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.