Individual provider Active NPI

Ryan Calhoon, CMT

  • Massage Therapist
  • Pleasant Hill, CA
National Provider Identifier
1154046480
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
73431 Issued in CA
Practice address
4 Kulani LN
Pleasant Hill, CA 94523-2516
Phone
(925) 978-6717
NPI assigned
Oct 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 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 73431 CA Primary

Addresses

Primary practice location

4 Kulani LN
Pleasant Hill, CA 94523-2516

Mailing address

4 Kulani LN
Pleasant Hill, CA 94523-2516
Phone (925) 978-6717

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 9259786717

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
73431CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1154046480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 KULANI LN",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232516",
            "telephone_number": "925-978-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 KULANI LN",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232516",
            "telephone_number": "925-978-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOON",
        "first_name": "RYAN",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "73431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "9259786717",
            "affiliation": "N",
            "endpointDescription": "Phone",
            "address_1": "4 Kulani Ln",
            "city": "Pleasant Hill",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945232516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.