Active NPI
Edith Carolina Torres-Lopez, HHP, LMT
- Massage Therapist
- Modesto, CA
National Provider Identifier
1255638946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13880
- Practice address
- 1029 McHenry Ave
Modesto, CA 95350-5436 - Phone
- (209) 204-7853
- NPI assigned
- Feb 16, 2011
- Last updated
- Feb 16, 2011
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 13880 | CA | Primary |
| Kinesiotherapist | 226300000X | NU | ||
| Community Health Worker | 172V00000X | NU | ||
| Reflexologist | 173C00000X | NU | ||
| Health Educator | 174H00000X | NU |
Addresses
Primary practice location
1029 McHenry Ave
Modesto, CA 95350-5436
Mailing address
2021 Ginnywood Way
Modesto, CA 95355-3302
Phone (209) 204-7853
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 |
|---|---|---|---|
| 13880 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297814400000",
"number": "1255638946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 GINNYWOOD WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "953553302",
"telephone_number": "209-204-7853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 MCHENRY AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953505436",
"telephone_number": "209-204-7853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES-LOPEZ",
"first_name": "EDITH CAROLINA",
"name_prefix": "Miss",
"credential": "HHP, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-16",
"last_updated": "2011-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "13880",
"primary": true
},
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.