Active NPI
Guthrie Bridge, CMT
- Massage Therapist
- Santa Rosa, CA
National Provider Identifier
1457122962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 92494
- Practice address
- 2635 Cleveland Ave Ste 3
Santa Rosa, CA 95403-2981 - Phone
- (707) 239-9224
- NPI assigned
- Jan 12, 2024
- Last updated
- Jan 12, 2024
- Sex
- Male
- 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 | 92494 | CA | Primary |
Addresses
Primary practice location
2635 Cleveland Ave Ste 3
Santa Rosa, CA 95403-2981
Mailing address
PO Box 811
Guerneville, CA 95446-0811
Phone (631) 742-7929
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": "1705017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1457122962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 811",
"city": "GUERNEVILLE",
"state": "CA",
"postal_code": "954460811",
"telephone_number": "631-742-7929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2635 CLEVELAND AVE STE 3",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954032981",
"telephone_number": "707-239-9224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGE",
"first_name": "GUTHRIE",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-12",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "92494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
- Morton Fredrick Brewer, M.D.
- Theresa Brewer
- Brian Thalhamer (Wellness Chiropractic)
- Danielle E Bricker
- Emelyn M Bricker
- Bridges to Self Empowerment a Marriage and Family Therapist Corporatio (Alice Petty-Hannum MFT)
- Jeffrey Keith Bridges, PH.D.
- Bridges, Pregnancy Clinic and Care Center, Inc.
- Brien a Seeley M.D., Inc
- Joanna Lee Briese
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.