Active NPI
Theresa Kamler, C.M.T.
- Massage Therapist
- San Rafael, CA
National Provider Identifier
1447556402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3658
- Practice address
- 750 Las Gallinas Ave
Suite 202
San Rafael, CA 94903-3438 - Phone
- (415) 299-2440
- NPI assigned
- Feb 8, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 3658 | CA | Primary |
| Massage Therapist | 225700000X | 3576 | HI |
Addresses
Primary practice location
750 Las Gallinas Ave
Suite 202
San Rafael, CA 94903-3438
Mailing address
750 Las Gallinas Ave
Suite 202
San Rafael, CA 94903-3438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3658 | Other | CA | CALIFORNIA MASSAGE THERAPY COUNCIL |
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 |
|---|---|---|---|
| 3576 | HI | MD | Clinical Social Worker |
| 3658 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1447556402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 LAS GALLINAS AVE",
"address_2": "SUITE 202",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 LAS GALLINAS AVE",
"address_2": "SUITE 202",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033438",
"telephone_number": "415-299-2440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMLER",
"first_name": "THERESA",
"credential": "C.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-08",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "3658",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "3576",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MASSAGE THERAPY COUNCIL",
"identifier": "3658",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.