Individual provider Active NPI

Marie Yvette Grabis, MMP, CMT

  • Massage Therapist
  • Folsom, CA
National Provider Identifier
1508451535
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
82130 Issued in CA
Practice address
160 Blue Ravine Rd Ste G
Folsom, CA 95630-4718
Phone
(916) 716-7642
NPI assigned
Mar 2, 2021
Last updated
Mar 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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 82130 CA Primary

Addresses

Primary practice location

160 Blue Ravine Rd Ste G
Folsom, CA 95630-4718

Mailing address

160 Blue Ravine Rd Ste G
Folsom, CA 95630-4718
Phone (916) 716-7642

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

LicenseStateTypeSpecialty
82130CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1508451535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BLUE RAVINE RD STE G",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304718",
            "telephone_number": "916-716-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BLUE RAVINE RD STE G",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304718",
            "telephone_number": "916-716-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABIS",
        "first_name": "MARIE YVETTE",
        "credential": "MMP, CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "82130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.