Organization Active NPI

Professional Massage and Esthetics

  • Mechanotherapist
  • Poway, CA
National Provider Identifier
1346786381
Registry record updated Jan 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
68778 Issued in CA
Legal business name
PROFESSIONAL MASSAGE AND ESTHETICS
Practice address
13359 Poway Rd
#114
Poway, CA 92064-4625
Phone
(858) 371-3700
NPI assigned
Jan 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2017

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

Authorized official

Name
Ms. Erin S Alessandro
Title
Massage Therapist
Phone
(760) 500-1219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MechanotherapistGroup: 193400000X SINGLE SPECIALTY GROUP 172M00000X 68778 CA Primary

Addresses

Primary practice location

13359 Poway Rd
#114
Poway, CA 92064-4625

Mailing address

1301 S Hale Ave
#80
Escondido, CA 92029-3053
Phone (760) 500-1219

National Provider Directory

National Provider Directory

Locations

13359 Poway Rd
#114
Poway, CA 92064
Phone (858) 371-3700

NPI Registry JSON

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

{
    "created_epoch": "1484352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484352000000",
    "number": "1346786381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S HALE AVE",
            "address_2": "#80",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920293053",
            "telephone_number": "760-500-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13359 POWAY RD",
            "address_2": "#114",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644625",
            "telephone_number": "858-371-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MASSAGE AND ESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-14",
        "last_updated": "2017-01-14",
        "status": "A",
        "authorized_official_last_name": "ALESSANDRO",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "760-500-1219",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mechanotherapist",
            "state": "CA",
            "license": "68778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2017; 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.