Individual provider Active NPI

Erica Kellison

  • Massage Therapist
  • Fresno, CA
National Provider Identifier
1497589428
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
83696 Issued in CA
Practice address
7045 N Chestnut Ave Ste 103
Fresno, CA 93720-0354
Phone
(559) 432-3363
NPI assigned
Aug 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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 83696 CA Primary

Addresses

Primary practice location

7045 N Chestnut Ave Ste 103
Fresno, CA 93720-0354

Mailing address

7045 N Chestnut Ave Ste 103
Fresno, CA 93720-0354
Phone (559) 432-3363

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua T. Ritter D.C., Inc. Massage Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

7045 N Chestnut Ave
Ste 103
Fresno, CA 93720
Phone (559) 432-3363

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": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1497589428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7045 N CHESTNUT AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200354",
            "telephone_number": "559-432-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7045 N CHESTNUT AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200354",
            "telephone_number": "559-432-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLISON",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "83696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.