Individual provider Active NPI

Niki Marie Torres, CMP

  • Massage Therapist
  • Atascadero, CA
National Provider Identifier
1104705458
Registry record updated Aug 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
28719 Issued in CA
Practice address
5811 Traffic Way
Atascadero, CA 93422-4253
Phone
(805) 610-6412
NPI assigned
Aug 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2025

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 28719 CA Primary

Addresses

Primary practice location

5811 Traffic Way
Atascadero, CA 93422-4253

Mailing address

3825 Ardilla Rd
Atascadero, CA 93422-2407
Phone (805) 610-6412

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": "1756512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756512000000",
    "number": "1104705458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 ARDILLA RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934222407",
            "telephone_number": "805-610-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 TRAFFIC WAY",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224253",
            "telephone_number": "805-610-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "NIKI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-30",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "28719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2025; 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.