Active NPI
Rebecca Jemma Phillips
- Massage Therapist
- Claremont, CA
National Provider Identifier
1255082756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 88653
- Practice address
- 670 Valparaiso Dr
Claremont, CA 91711-1560 - Phone
- (781) 690-0525
- NPI assigned
- Jan 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 16926 | MA | |
| Massage Therapist | 225700000X | 88653 | CA | Primary |
Addresses
Primary practice location
670 Valparaiso Dr
Claremont, CA 91711-1560
Mailing address
670 Valparaiso Dr
Claremont, CA 91711-1560
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16926 | MA | MD | Dentist |
| 88653 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642291200000",
"number": "1255082756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 VALPARAISO DR",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917111560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 VALPARAISO DR",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917111560",
"telephone_number": "781-690-0525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "REBECCA",
"middle_name": "JEMMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-16",
"last_updated": "2022-01-16",
"certification_date": "2022-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "16926",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "88653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.