Active NPI
Terry Obrien Fitzgerald
- Massage Therapist
- Laguna Hills, CA
National Provider Identifier
1285869396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 23101 Moulton Pkwy
Suite 105
Laguna Hills, CA 92653-1213 - Phone
- (949) 581-4647
- NPI assigned
- May 18, 2009
- Sex
- Male
- 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 | CA | Primary |
Addresses
Primary practice location
23101 Moulton Pkwy
Suite 105
Laguna Hills, CA 92653-1213
Mailing address
23101 Moulton Pkwy
Suite 105
Laguna Hills, CA 92653-1213
Phone (949) 581-4647
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242604800000",
"number": "1285869396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23101 MOULTON PKWY",
"address_2": "SUITE 105",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531213",
"telephone_number": "949-581-4647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23101 MOULTON PKWY",
"address_2": "SUITE 105",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531213",
"telephone_number": "949-581-4647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "TERRY",
"middle_name": "OBRIEN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-18",
"last_updated": "2009-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.