Individual provider Active NPI

Tiffany Hendrix, LCMT, CMT

  • Massage Therapist
  • Playa Vista, CA
National Provider Identifier
1205770682
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2299 Issued in CA
Practice address
5389 Playa Vista Dr
Playa Vista, CA 90094-2043
Phone
(310) 975-5887
NPI assigned
Apr 16, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 2299 CA Primary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 765186 CA

Addresses

Primary practice location

5389 Playa Vista Dr
Playa Vista, CA 90094-2043

Mailing address

1060 Amble Dr
Shoreview, MN 55126-2268
Phone (310) 975-5887

Other practice location 1

1060 Amble Dr
Shoreview, MN 55126-2268
Phone (310) 975-5887

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
765186CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1205770682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 AMBLE DR",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551262268",
            "telephone_number": "310-975-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5389 PLAYA VISTA DR",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942043",
            "telephone_number": "310-975-5887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 Amble Dr",
            "address_purpose": "LOCATION",
            "city": "Shoreview",
            "state": "MN",
            "postal_code": "551262268",
            "country_code": "US",
            "telephone_number": "310-975-5887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "TIFFANY",
        "credential": "LCMT, CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "2299",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "765186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Playa Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.