Santa Monica Sports Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SANTA MONICA SPORTS MASSAGE LLC

Practice address

2001 S Barrington Ave Ste 101
Los Angeles, CA 90025-5337

Phone

(310) 429-9385

NPI assigned

Aug 4, 2023

Last updated

Aug 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle MercierNPI 1023669967

Title

Manual Therapist

Phone

(310) 429-9385

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Mercier

  • Massage Therapist
  • Los Angeles, CA
  • NPI 1023669967
  NPD Authorized official

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1659053080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255337",
            "telephone_number": "310-429-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255337",
            "telephone_number": "310-429-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MONICA SPORTS MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "MERCIER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MANUAL THERAPIST",
        "authorized_official_telephone_number": "310-429-9385"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.