Active NPI
Marcella Reyes, LMT, CPT, CES
- Massage Therapist
- Claremont, CA
National Provider Identifier
1558060079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 82180
- Practice address
- 689 W Foothill Blvd Ste D
Claremont, CA 91711-3400 - Phone
- (626) 533-9459
- NPI assigned
- Feb 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Kinesiotherapist | 226300000X | 1220836797 | CA | |
| Massage Therapist | 225700000X | 82180 | CA | Primary |
Addresses
Primary practice location
689 W Foothill Blvd Ste D
Claremont, CA 91711-3400
Mailing address
689 W Foothill Blvd Ste D
Claremont, CA 91711-3400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 82180 | CA | MD | Clinical Social Worker |
| 1220836797 | CA | MD | Kinesiotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1558060079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "689 W FOOTHILL BLVD STE D",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917113400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "689 W FOOTHILL BLVD STE D",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917113400",
"telephone_number": "626-533-9459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "MARCELLA",
"credential": "LMT, CPT, CES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-23",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "226300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Kinesiotherapist",
"state": "CA",
"license": "1220836797",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CA",
"license": "82180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Claremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.