Active NPI
Definition Sports Massage Inc.
- Massage Therapist
- Fontana, CA
National Provider Identifier
1124651831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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 DirectoryLocations
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.
-
- Massage Therapist
- Fontana, CA
- NPI 1841823556
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.