NPIMap

Organization Active NPI

California Total Body Massage

  • Massage Therapist
  • California, MD
National Provider Identifier
1265931059
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M05083 Issued in MD
Legal business name
CALIFORNIA TOTAL BODY MASSAGE
Practice address
22735 Ventura Way
California, MD 20619-5108
Phone
(240) 925-6283
NPI assigned
Feb 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Authorized official

Name
Gwynne Buttrill, LMTNPI 1548635329
Title
Owner
Phone
(240) 925-6283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X M05083 MD Primary

Addresses

Primary practice location

22735 Ventura Way
California, MD 20619-5108

Mailing address

22735 Ventura Way
California, MD 20619-5108

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1265931059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22735 VENTURA WAY",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206195108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22735 VENTURA WAY",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206195108",
            "telephone_number": "240-925-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA TOTAL BODY MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "BUTTRILL",
        "authorized_official_first_name": "GWYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-925-6283",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M05083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in California, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.