Active NPI
Jennifer Cipollone
- Massage Therapist
- San Clemente, CA
National Provider Identifier
1649738808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- D4319040
- Practice address
- 1000 Calle Amanecer
San Clemente, CA 92673-6214 - Phone
- (949) 481-9113
- NPI assigned
- Mar 6, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | D4319040 | Primary |
Addresses
Primary practice location
1000 Calle Amanecer
San Clemente, CA 92673-6214
Mailing address
24312 Timothy Dr
Dana Point, CA 92629-1069
Phone (650) 946-7026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D4319040 | Other | BUSINESS LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennifer@watsonsportsrehab.com | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Therapeutic Massage LLC | Massage Therapist | Current | Accepting new patients |
Locations
1225 Crane St
Ste 202
Menlo Park, CA 94025
Phone (650) 324-8881
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Massage Therapist
- Menlo Park, CA
- NPI 1568920726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1649738808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24312 TIMOTHY DR",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926291069",
"telephone_number": "650-946-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CALLE AMANECER",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736214",
"telephone_number": "949-481-9113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIPOLLONE",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-06",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": "D4319040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUSINESS LICENSE",
"identifier": "D4319040",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennifer@watsonsportsrehab.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1000 Calle Amanecer",
"city": "San Clemente",
"state": "CA",
"country_code": "US",
"postal_code": "926736214",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.