Individual provider Active NPI

Ilaria Cipolla, LMT

  • Massage Therapist
  • Claremont, CA
National Provider Identifier
1194330316
Registry record updated Jul 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
73790 Issued in CA
Practice address
689 W Foothill Blvd Ste a
Claremont, CA 91711-3400
Phone
(909) 670-9951
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2024

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 73790 CA Primary

Addresses

Primary practice location

689 W Foothill Blvd Ste a
Claremont, CA 91711-3400

Mailing address

689 W Foothill Blvd Ste a
Claremont, CA 91711-3400
Phone (909) 670-9951

Other practice location 1

406 S Prospectors Rd
Diamond Bar, CA 91765-1659
Phone (909) 670-9951

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
73790CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722124800000",
    "number": "1194330316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 W FOOTHILL BLVD STE A",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113400",
            "telephone_number": "909-670-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 W FOOTHILL BLVD STE A",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113400",
            "telephone_number": "909-670-9951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 S Prospectors Rd",
            "address_purpose": "LOCATION",
            "city": "Diamond Bar",
            "state": "CA",
            "postal_code": "917651659",
            "country_code": "US",
            "telephone_number": "909-670-9951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIPOLLA",
        "first_name": "ILARIA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "73790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; 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.