Stressage Therapy

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

STRESSAGE THERAPY

Practice address

8300 University Ave
La Mesa, CA 91942-9323

Phone

(619) 622-1963

NPI assigned

Jul 19, 2017

Last updated

Nov 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremy Alexander Hicks, CMTNPI 1750801361

Title

Sports Rehabilitation Therapist

Phone

(619) 519-3632

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy Alexander Hicks, CMT

  • Rehabilitation Practitioner
  • Chula Vista, CA
  • NPI 1750801361
  NPD (past) Authorized official

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1225551443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 UNIVERSITY AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429323",
            "telephone_number": "619-622-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 UNIVERSITY AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429323",
            "telephone_number": "619-622-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRESSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "SPORTS REHABILITATION THERAPIST",
        "authorized_official_telephone_number": "619-519-3632",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "69882",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea R Story, OTR
• Ashley Stratton
• Jeffery Charles Stratton, MSW, LCSW
• Isaiah Strayhorn
• Yolanda Georgina Street
• Derrick M. Strick, D.C.
• Marsha Lane Strieker, L.M.F.T.
• William E Strukel, MD
• Kimberly Sue Stull, BCBA
• Eugene Isamu Sugita, D.D.S.

• Rehabilitation Clinic/Center in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.