Individual provider Active NPI

Mahesh Indrajith Vitharana Pathirana, CMT

  • Massage Therapist
  • Fresno, CA
National Provider Identifier
1255023214
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
92401 Issued in CA
Practice address
7525 N Cedar Ave
Fresno, CA 93720-2614
Phone
(559) 581-2517
NPI assigned
May 25, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 92401 CA Primary

Addresses

Primary practice location

7525 N Cedar Ave
Fresno, CA 93720-2614

Mailing address

505 Villa Ave Apt 138
Clovis, CA 93612-0868
Phone (559) 581-2517

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
92401CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1255023214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 VILLA AVE APT 138",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120868",
            "telephone_number": "559-581-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 N CEDAR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202614",
            "telephone_number": "559-581-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITHARANA PATHIRANA",
        "first_name": "MAHESH",
        "middle_name": "INDRAJITH",
        "name_prefix": "Mr.",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "92401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.