Active NPI
Rebecca Lauren Hatley, CMT
- Massage Therapist
- Alameda, CA
National Provider Identifier
1629682448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 78820
- Practice address
- 3247 Briggs Ave
Alameda, CA 94501-4802 - Phone
- (510) 363-6869
- NPI assigned
- Aug 31, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 78820 | CA | |
| Massage Therapist | 225700000X | 78820 | Primary |
Addresses
Primary practice location
3247 Briggs Ave
Alameda, CA 94501-4802
Mailing address
3247 Briggs Ave
Alameda, CA 94501-4802
Phone (510) 363-6869
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 |
|---|---|---|---|
| 78820 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1629682448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3247 BRIGGS AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014802",
"telephone_number": "510-363-6869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3247 BRIGGS AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014802",
"telephone_number": "510-363-6869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATLEY",
"first_name": "REBECCA",
"middle_name": "LAUREN",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-31",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "78820",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": "78820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.