Individual provider Active NPI

Ginamaria Trello, CMT

  • Massage Therapist
  • San Anselmo, CA
National Provider Identifier
1659009934
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
72220 Issued in CA
Practice address
411 San Anselmo Ave Unit 101
San Anselmo, CA 94960-2663
Phone
(415) 464-9111
NPI assigned
Aug 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 72220 CA Primary

Addresses

Primary practice location

411 San Anselmo Ave Unit 101
San Anselmo, CA 94960-2663

Mailing address

45 Woodland Ave Apt 7
San Anselmo, CA 94960-2643
Phone (646) 591-7121

Other practice location 1

45 Woodland Ave Apt 7
San Anselmo, CA 94960-2643
Phone (646) 591-7121

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

LicenseStateTypeSpecialty
72220CAMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1659009934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WOODLAND AVE APT 7",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602643",
            "telephone_number": "646-591-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 SAN ANSELMO AVE UNIT 101",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602663",
            "telephone_number": "415-464-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Woodland Ave Apt 7",
            "address_purpose": "LOCATION",
            "city": "San Anselmo",
            "state": "CA",
            "postal_code": "949602643",
            "country_code": "US",
            "telephone_number": "646-591-7121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRELLO",
        "first_name": "GINAMARIA",
        "name_prefix": "Mrs.",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "72220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Anselmo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.