Marisa Kaitlyn Wood, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

81728 Issued in CA

Practice address

1025 B St
Hayward, CA 94541-4107

Phone

(510) 733-0288

NPI assigned

Sep 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Risa Kaitlyn Wood Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• California Acupuncture Center

  • Acupuncturist
  • Hayward, CA
  • NPI 1528131950
  NPD (past)

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1316618176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 E 23RD ST APT 4",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062742",
            "telephone_number": "925-951-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 B ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414107",
            "telephone_number": "510-733-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MARISA",
        "middle_name": "KAITLYN",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "81728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAMTC",
            "identifier": "81728",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RISA",
            "last_name": "WOOD",
            "middle_name": "KAITLYN",
            "credential": "CMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thaw Wong
• Ying Ho Wong
• Tommy H.T. Woo, PHARM.D.
• Bernadette Antoinette Wood
• Maddox Wood
• Conor Woodlief
• Kabre Woods
• Kaylee Woods
• Lindsay Lorraine Woods
• Barbie Ann Woodward, LE

• Massage Therapist in Hayward, CA
• Providers in Hayward, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.