Organization Active NPI

Definition Sports Massage Inc.

  • Massage Therapist
  • Fontana, CA
National Provider Identifier
1124651831
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
DEFINITION SPORTS MASSAGE INC.
Practice address
14755 Foothill Blvd Ste D
Fontana, CA 92335-8050
Phone
(909) 371-0205
NPI assigned
Feb 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Mrs. Alicia Lopez
Title
Cfo
Phone
(909) 524-8917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

14755 Foothill Blvd Ste D
Fontana, CA 92335-8050

Mailing address

14755 Foothill Blvd Ste D
Fontana, CA 92335-8050
Phone (909) 371-0205

National Provider Directory

National Provider Directory

Locations

14755 Foothill Blvd
Ste D
Fontana, CA 92335
Phone (909) 371-0205

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1124651831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14755 FOOTHILL BLVD STE D",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923358050",
            "telephone_number": "909-371-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14755 FOOTHILL BLVD STE D",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923358050",
            "telephone_number": "909-371-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFINITION SPORTS MASSAGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-524-8917",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.