NPIMap

Organization Active NPI

Clinical Massage Therapy Rocklin

  • Massage Therapist
  • Rocklin, CA
National Provider Identifier
1255739611
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
26867 Issued in CA
Legal business name
CLINICAL MASSAGE THERAPY ROCKLIN
Practice address
5714 Lonetree Blvd
Rocklin, CA 95765-3734
Phone
(916) 259-2510
NPI assigned
Dec 16, 2014
Last updated
Dec 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Ms. Marisa Clements
Title
Massage Therapist
Phone
(916) 865-6679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 26867 CA Primary

Addresses

Primary practice location

5714 Lonetree Blvd
Rocklin, CA 95765-3734

Mailing address

1409 Monicas Garden PL
Roseville, CA 95747-6610
Phone (916) 865-6679

National Provider Directory

National Provider Directory
Tax ID family
Clinical Massage Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1255739611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 MONICAS GARDEN PL",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957476610",
            "telephone_number": "916-865-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5714 LONETREE BLVD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653734",
            "telephone_number": "916-259-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL MASSAGE THERAPY ROCKLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "916-865-6679",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "26867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.