Marissa Tait, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

48655 Issued in CA

Practice address

11706 Kling St
Apt 8
Valley Village, CA 91607-4045

Phone

(323) 972-1727

NPI assigned

Nov 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1479513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479513600000",
    "number": "1528501749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11706 KLING ST",
            "address_2": "APT 8",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916074045",
            "telephone_number": "323-972-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11706 KLING ST",
            "address_2": "APT 8",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916074045",
            "telephone_number": "323-972-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIT",
        "first_name": "MARISSA",
        "name_prefix": "Ms.",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-19",
        "last_updated": "2016-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "48655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meir Sultan, CM (CERTIFIED MOHEL)
• Keren Sussman
• Elizaveta Sychevskaya
• Sylvan Health Services Inc
• Marie Angeline Szczurak, D.C.
• Akane Takijiri
• Michal Tal, PT
• Wing Yin Tam, M.S.O.M
• Taylrmayde Medical Equipment, Inc.
• Patrick Tedeschi-Ortiz

• Massage Therapist in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2016; 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.