Individual provider Active NPI

Tiffany Fussell, LMT

  • Massage Therapist
  • Los Angeles, CA
National Provider Identifier
1366926768
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
6343 W 82ND St
Los Angeles, CA 90045-2876
Phone
(239) 938-4160
NPI assigned
Sep 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X CA Primary

Addresses

Primary practice location

6343 W 82ND St
Los Angeles, CA 90045-2876

Mailing address

6343 W 82ND St
Los Angeles, CA 90045-2876
Phone (239) 938-4160

Other practice location 1

8329 Lincoln Blvd
Los Angeles, CA 90045-2413
Phone (310) 568-0941

Other practice location 2

150 S Pacific Coast Hwy Ste F
El Segundo, CA 90245-4638
Phone (310) 414-3006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1366926768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6343 W 82ND ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452876",
            "telephone_number": "239-938-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6343 W 82ND ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452876",
            "telephone_number": "239-938-4160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8329 Lincoln Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900452413",
            "country_code": "US",
            "telephone_number": "310-568-0941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 S Pacific Coast Hwy Ste F",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "902454638",
            "country_code": "US",
            "telephone_number": "310-414-3006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUSSELL",
        "first_name": "TIFFANY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.