Individual provider Active NPI

Andrea Lee, CMT, CST-T

  • Massage Therapist
  • San Mateo, CA
National Provider Identifier
1427967165
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
57142 Issued in CA
Practice address
1670 S Amphlett Blvd Ste 120
San Mateo, CA 94402-2512
Phone
(650) 762-9283
NPI assigned
Sep 7, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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 57142 CA Primary

Addresses

Primary practice location

1670 S Amphlett Blvd Ste 120
San Mateo, CA 94402-2512

Mailing address

1670 S Amphlett Blvd Ste 120
San Mateo, CA 94402-2512
Phone (650) 762-9283

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1427967165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 S AMPHLETT BLVD STE 120",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022512",
            "telephone_number": "650-762-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 S AMPHLETT BLVD STE 120",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022512",
            "telephone_number": "650-762-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANDREA",
        "credential": "CMT, CST-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "57142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.