Individual provider Active NPI

Karyn Brittman, CMT

  • Massage Therapist
  • Venice, CA
National Provider Identifier
1659978617
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
77215 Issued in CA
Practice address
1404 Elkgrove Cir Apt 4
Venice, CA 90291-3115
Phone
(323) 683-9339
NPI assigned
Oct 2, 2020
Last updated
Oct 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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 77215 CA Primary

Addresses

Primary practice location

1404 Elkgrove Cir Apt 4
Venice, CA 90291-3115

Mailing address

1404 Elkgrove Cir Apt 4
Venice, CA 90291-3115

Other names 1

  • Karyn Wyrsch Former name

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
77215CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1659978617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 ELKGROVE CIR APT 4",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 ELKGROVE CIR APT 4",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913115",
            "telephone_number": "323-683-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITTMAN",
        "first_name": "KARYN",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "77215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARYN",
            "last_name": "WYRSCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Venice, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.