Active NPI
Pampered by Me Mobile Massage
Doing business as none
- Massage Therapist
- Antelope, CA
National Provider Identifier
1598399156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- PAMPERED BY ME MOBILE MASSAGE
- Doing business as
- Pampered by Me Mobile Massage
none - Practice address
- 3341 Mono Way
Antelope, CA 95843-2032 - Phone
- (916) 544-7018
- NPI assigned
- Feb 23, 2020
- Last updated
- Feb 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Wayne Matthis, THERAPIST
- Title
- Owner
- Phone
- (916) 544-7018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
3341 Mono Way
Antelope, CA 95843-2032
Mailing address
3341 Mono Way
Antelope, CA 95843-2032
Phone (916) 544-7018
Other names 2
- Pampered by Me Mobile Massage
- none
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | massage | Health Information Exchange (HIE) | |
| SOAP URL | massage | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582416000000",
"number": "1598399156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3341 MONO WAY",
"city": "ANTELOPE",
"state": "CA",
"postal_code": "958432032",
"telephone_number": "916-544-7018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3341 MONO WAY",
"city": "ANTELOPE",
"state": "CA",
"postal_code": "958432032",
"telephone_number": "916-544-7018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAMPERED BY ME MOBILE MASSAGE",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-23",
"last_updated": "2020-02-23",
"certification_date": "2020-02-23",
"status": "A",
"authorized_official_last_name": "MATTHIS",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "916-544-7018",
"authorized_official_credential": "THERAPIST"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "massage",
"affiliation": "N",
"endpointDescription": "massage",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3341 Mono Way",
"city": "Antelope",
"state": "CA",
"country_code": "US",
"postal_code": "958432032",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "massage",
"affiliation": "N",
"endpointDescription": "massage",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3341 Mono Way",
"city": "Antelope",
"state": "CA",
"country_code": "US",
"postal_code": "958432032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Pampered by Me Mobile Massage",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "none",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Antelope, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.