Organization Active NPI

Neuromuscular Transformations

  • Massage Therapist
  • San Diego, CA
National Provider Identifier
1336716646
Registry record updated Jun 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
NEUROMUSCULAR TRANSFORMATIONS
Practice address
4833 Santa Monica Ave Unit 7840
San Diego, CA 92107-2810
Phone
(760) 401-7968
NPI assigned
Jun 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2021

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

Authorized official

Name
Dennis Young, MMTNPI 1528502051
Title
Owner
Phone
(760) 401-7968

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary
Religious Nonmedical Health Care Institution 282J00000X

Addresses

Primary practice location

4833 Santa Monica Ave Unit 7840
San Diego, CA 92107-2810

Mailing address

4833 Santa Monica Ave Unit 7840
San Diego, CA 92107-2810

Other identifiers 1

IdentifierTypeStateIssuer
72368OtherCAMEDICAL MASSAGE CERT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@neuromusculartransformations.com

National Provider Directory

National Provider Directory

Locations

4833 Santa Monica Ave
Unit 7840
San Diego, CA 92107
Phone (760) 401-7968

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": "1622937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622937600000",
    "number": "1336716646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 SANTA MONICA AVE UNIT 7840",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 SANTA MONICA AVE UNIT 7840",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072810",
            "telephone_number": "760-401-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROMUSCULAR TRANSFORMATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-06",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-401-7968",
        "authorized_official_credential": "MMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MASSAGE CERT",
            "identifier": "72368",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@neuromusculartransformations.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "address_1": "4833 Santa Monica Ave Unit 7840",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921072810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.