Eileen M Cavlan, CMT, P.T.A.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

CAMTC 53390 Issued in CA

Practice address

1021 Blossom Hill Rd Ste 20
San Jose, CA 95123-1188

Phone

(408) 375-8918

NPI assigned

Aug 17, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1366818007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 REDBIRD DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252824",
            "telephone_number": "408-829-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 BLOSSOM HILL RD STE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231188",
            "telephone_number": "408-375-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVLAN",
        "first_name": "EILEEN",
        "middle_name": "M",
        "credential": "CMT, P.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "TCH 21377",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT 8167",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "CAMTC 53390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas John Cavall
• Heather Cavanagh
• Payton Kenzie Cavanaugh
• Michael Howard Cavender, O.T.
• Elena Marie Caviar, MS, RD
• Maria Christine Cavucci, PSY.D.
• Ushta Cawasji
• Carissa Mycah Corcega Cayco
• Valeria Michelle Cazares Espinoza
• Mayra Esperanza Cazarez

• Massage Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.