Individual provider Active NPI

Sonia Padilla-Montero, CMT

  • Massage Therapist
  • Rohnert Park, CA
National Provider Identifier
1194313056
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
6650 Commerce Blvd Ste #24
Suite #24
Rohnert Park, CA 94928
Phone
(707) 206-5610
NPI assigned
Jan 6, 2021
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU
Pain Clinic/Center 261QP3300X NU
Specialist 174400000X CA
Massage Therapist 225700000X NU Primary
PACE Provider Organization 251T00000X NU
Health Educator 174H00000X CA

Addresses

Primary practice location

6650 Commerce Blvd Ste #24
Suite #24
Rohnert Park, CA 94928

Mailing address

1109 Lohrman LN
Petaluma, CA 94952-1613
Phone (707) 206-5610

Other identifiers 1

IdentifierTypeStateIssuer
621399OtherCANAICS

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL padillaholistic.com Other

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1194313056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 LOHRMAN LN",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949521613",
            "telephone_number": "707-206-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 COMMERCE BLVD STE #24",
            "address_2": "SUITE #24",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "94928",
            "telephone_number": "707-206-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA-MONTERO",
        "first_name": "SONIA",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAICS",
            "identifier": "621399",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "padillaholistic.com",
            "affiliation": "N",
            "endpointDescription": "Business Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "sonia@padillaholistic.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "GMail for Business",
            "address_1": "6650 Commerce BLvd Ste #24",
            "address_2": "Suite #24",
            "city": "Rohnert Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rohnert Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.