Individual provider Active NPI

Alison Turquoise Irwin, CMT

  • Mechanotherapist
  • Yucca Valley, CA
National Provider Identifier
1215202072
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
13180 Issued in CA
Practice address
57475 29 Palms Hwy
Suite 101
Yucca Valley, CA 92284-2906
Phone
(760) 365-9878
Fax
(206) 309-0387
NPI assigned
Mar 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 13180 CA Primary

Addresses

Primary practice location

57475 29 Palms Hwy
Suite 101
Yucca Valley, CA 92284-2906

Mailing address

57475 29 Palms Hwy
Suite 101
Yucca Valley, CA 92284-2906
Phone (760) 365-9878

Other identifiers 2

IdentifierTypeStateIssuer
56024808OtherCANATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK
13180OtherCACALIFORNIA MASSAGE THERAPY COUNCIL

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

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1215202072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57475 29 PALMS HWY",
            "address_2": "SUITE 101",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842906",
            "telephone_number": "760-365-9878",
            "fax_number": "206-309-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57475 29 PALMS HWY",
            "address_2": "SUITE 101",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842906",
            "telephone_number": "760-365-9878",
            "fax_number": "206-309-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "ALISON",
        "middle_name": "TURQUOISE",
        "name_prefix": "Ms.",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "CA",
            "license": "13180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK",
            "identifier": "56024808",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MASSAGE THERAPY COUNCIL",
            "identifier": "13180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.