Individual provider Active NPI

Ida Friedman, CMT, CLT

  • Massage Therapist
  • Berkeley, CA
National Provider Identifier
1205736840
Registry record updated Nov 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
11059 Issued in CA
Practice address
2034 Blake St Ste 2
Berkeley, CA 94704-2651
Phone
(510) 808-6162
NPI assigned
Nov 7, 2026
Last updated
Nov 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2026

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 11059 CA Primary

Addresses

Primary practice location

2034 Blake St Ste 2
Berkeley, CA 94704-2651

Mailing address

2034 Blake St Ste 2
Berkeley, CA 94704-2651
Phone (510) 808-6162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1794009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1794009600000",
    "number": "1205736840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 BLAKE ST STE 2",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042651",
            "telephone_number": "510-808-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 BLAKE ST STE 2",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042651",
            "telephone_number": "510-808-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "IDA",
        "credential": "CMT, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-11-07",
        "last_updated": "2026-11-07",
        "certification_date": "2026-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "11059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.