Active NPI
Kelly Brett
- Massage Therapist
- Solana Beach, CA
National Provider Identifier
1417637729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 66125
- Practice address
- Ste 300
312 S Cedros Ave
Solana Beach, CA 92075-1943 - Phone
- (858) 877-1574
- NPI assigned
- Jul 20, 2023
- Last updated
- Jul 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 66125 | CA | Primary |
Addresses
Primary practice location
Ste 300
312 S Cedros Ave
Solana Beach, CA 92075-1943
Mailing address
1083 Ruby CT
San Marcos, CA 92078-2837
Phone (760) 214-5016
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66125 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1417637729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1083 RUBY CT",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920782837",
"telephone_number": "760-214-5016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STE 300",
"address_2": "312 S CEDROS AVE",
"city": "SOLANA BEACH",
"state": "CA",
"postal_code": "920751943",
"telephone_number": "858-877-1574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRETT",
"first_name": "KELLY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-20",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "66125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Solana Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.