Organization Active NPI

Phoenix Rising Holistic Therapies LLC

  • Massage Therapist
  • Murrieta, CA
National Provider Identifier
1619668977
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
PHOENIX RISING HOLISTIC THERAPIES LLC
Practice address
24910 Washington Ave Ste 303
Murrieta, CA 92562-9284
Phone
(951) 387-4058
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Kristin AtlanticNPI 1821793894
Title
Owner
Phone
(951) 387-4058

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

24910 Washington Ave Ste 303
Murrieta, CA 92562-9284

Mailing address

8880 Rio San Diego Dr Ste 800
San Diego, CA 92108-1642
Phone (951) 387-4058

National Provider Directory

National Provider Directory

Locations

24910 Washington Ave
Ste 303
Murrieta, CA 92562
Phone (951) 290-8125

8880 Rio San Diego Dr
Ste 800
San Diego, CA 92108
Phone (562) 208-5327

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": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1619668977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 RIO SAN DIEGO DR STE 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081642",
            "telephone_number": "951-387-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24910 WASHINGTON AVE STE 303",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629284",
            "telephone_number": "951-387-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING HOLISTIC THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "ATLANTIC",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-387-4058"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.