Active NPI
Rachel Skinner, CMT, CYT
- Massage Therapist
- Los Angeles, CA
National Provider Identifier
1275009508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 72008
- Practice address
- 6115 Selma Ave Ste 202
Los Angeles, CA 90028-6461 - Phone
- (323) 394-7038
- NPI assigned
- Oct 14, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 72008 | CA | Primary |
Addresses
Primary practice location
6115 Selma Ave Ste 202
Los Angeles, CA 90028-6461
Mailing address
5525 Carlton Way Apt 10
Los Angeles, CA 90028-6861
Phone (323) 394-7038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72008 | Other | CA | MASSAGE THERAPY |
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 |
|---|---|---|---|
| 72008 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1275009508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 CARLTON WAY APT 10",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900286861",
"telephone_number": "323-394-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6115 SELMA AVE STE 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900286461",
"telephone_number": "323-394-7038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKINNER",
"first_name": "RACHEL",
"credential": "CMT, CYT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-14",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CA",
"license": "72008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY",
"identifier": "72008",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.