Active NPI
Louise M Bortolotti
- Massage Therapist
- Petaluma, CA
National Provider Identifier
1285318477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 40083
- Practice address
- 117 Washington St
Petaluma, CA 94952-2952 - Phone
- (707) 570-9025
- NPI assigned
- Jun 9, 2023
- Last updated
- Jun 9, 2023
- 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 | 40083 | CA | Primary |
Addresses
Primary practice location
117 Washington St
Petaluma, CA 94952-2952
Mailing address
PO Box 4592
Santa Rosa, CA 95402-4592
Phone (707) 570-9025
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 |
|---|---|---|---|
| 40083 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1285318477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4592",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954024592",
"telephone_number": "707-570-9025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 WASHINGTON ST",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949522952",
"telephone_number": "707-570-9025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORTOLOTTI",
"first_name": "LOUISE",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-09",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "40083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.