Organization Active NPI

Myotherapy Bodywork and Rehabilitation

  • Massage Therapist
  • Ontario, CA
National Provider Identifier
1497648638
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MYOTHERAPY BODYWORK AND REHABILITATION
Practice address
1910 S Archibald Ave Ste D
Ontario, CA 91761-8503
Phone
(909) 569-3913
NPI assigned
May 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joel Dacanay, LMTNPI 1336636810
Title
Owner/Massage Therapist
Phone
(909) 569-3913

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1910 S Archibald Ave Ste D
Ontario, CA 91761-8503

Mailing address

11783 Brandywine PL
Rancho Cucamonga, CA 91730-3915
Phone (909) 569-3913

Other names 1

  • MYOTHERAPY BODYWORK AND REHABILITATION Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1497648638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11783 BRANDYWINE PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303915",
            "telephone_number": "909-569-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S ARCHIBALD AVE STE D",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618503",
            "telephone_number": "909-569-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOTHERAPY BODYWORK AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "DACANAY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "909-569-3913",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MYOTHERAPY BODYWORK AND REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.