Organization Active NPI

Psoas Massage and Bodywork

  • Specialist
  • San Francisco, CA
National Provider Identifier
1336485523
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
000547 Issued in CA
Legal business name
PSOAS MASSAGE AND BODYWORK
Practice address
333 3Rd St
Suite 205
San Francisco, CA 94107-1240
Phone
(415) 227-0331
Fax
(415) 227-4308
NPI assigned
Dec 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Authorized official

Name
Mrs. Jennifer Lynn Lightstone, CMT
Title
Owner and Therapist
Phone
(415) 227-0331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 000547 CA Primary

Addresses

Primary practice location

333 3Rd St
Suite 205
San Francisco, CA 94107-1240

Mailing address

333 3Rd St
Suite 205
San Francisco, CA 94107-1240
Phone (415) 227-0331

National Provider Directory

National Provider Directory

Locations

333 3rd St
Ste 205
San Francisco, CA 94107
Phone (415) 227-0331

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": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1336485523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 3RD ST",
            "address_2": "SUITE 205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071240",
            "telephone_number": "415-227-0331",
            "fax_number": "415-227-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 3RD ST",
            "address_2": "SUITE 205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071240",
            "telephone_number": "415-227-0331",
            "fax_number": "415-227-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSOAS MASSAGE AND BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "LIGHTSTONE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER AND THERAPIST",
        "authorized_official_telephone_number": "415-227-0331",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "000547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.