NPIMap

Individual provider Active NPI

Tracie Ann Nestler, LMT,AAS

  • Massage Therapist
  • El Cajon, CA
National Provider Identifier
1407570153
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
71871 Issued in CA
Practice address
1571 N Magnolia Ave Ste 212
El Cajon, CA 92020-1274
Phone
(619) 975-2730
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 71871 CA Primary

Addresses

Primary practice location

1571 N Magnolia Ave Ste 212
El Cajon, CA 92020-1274

Mailing address

244 N Mollison Ave Apt 101
El Cajon, CA 92021-6892
Phone (858) 899-1287

Other identifiers 1

IdentifierTypeStateIssuer
225700000XOtherCAMASSAGE THERAPY

Other names 1

  • Tracie Ann Travis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://www.massagebook.com/El_Cajon~Massage~tracie-nestler Health Information Exchange (HIE) MANUAL ORTHOPEDIC PHYSICAL THERAPY, INC.

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
Credentials
Associate of Applied Science

State licenses

LicenseStateTypeSpecialty
71871CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manual Orthopedic Physical Therapy, Inc. Massage Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1407570153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 N MOLLISON AVE APT 101",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920216892",
            "telephone_number": "858-899-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 N MAGNOLIA AVE STE 212",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920201274",
            "telephone_number": "619-975-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTLER",
        "first_name": "TRACIE",
        "middle_name": "ANN",
        "credential": "LMT,AAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "71871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "225700000X",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://www.massagebook.com/El_Cajon~Massage~tracie-nestler",
            "affiliation": "Y",
            "endpointDescription": "Electronic soap notes and data entry",
            "affiliationName": "MANUAL ORTHOPEDIC PHYSICAL THERAPY, INC.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1571 N Magnolia Ave Ste 212",
            "city": "El Cajon",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920201274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACIE",
            "last_name": "TRAVIS",
            "middle_name": "ANN",
            "credential": "LMT,AAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.