Loosen Up Bodywork

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

Legal business name

LOOSEN UP BODYWORK

Practice address

1407 Oakland Blvd Ste 100
Walnut Creek, CA 94596-4300

Phone

(925) 289-9750

NPI assigned

Jul 5, 2023

Organization subpart

No

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

Authorized official

Name

Gina D Tibbs, CMT

Title

Owner

Phone

(925) 289-9750

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael A Cuglietta

  • Massage Therapist
  • Walnut Creek, CA
  • NPI 1396623567
  NPD
• Paul Grier

  • Massage Therapist
  • Oakland, CA
  • NPI 1700603370

  Single Specialty

  NPD
• Kennadi Hodge

  • Mechanotherapist
  • Walnut Creek, CA
  • NPI 1275427072
  NPD

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1669150298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 OAKLAND BLVD STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964300",
            "telephone_number": "925-289-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 OAKLAND BLVD STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964300",
            "telephone_number": "925-289-9750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 San Ramon Valley Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "CA",
            "postal_code": "945264038",
            "country_code": "US",
            "telephone_number": "925-718-5490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOOSEN UP BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "TIBBS",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-289-9750",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Cooper Longton, MD
• Benjamin Longwell, D.O.
• Gary Orlando Lons, MSW
• Patricia K Loo, P.A.
• Benjamin M Loos, MD
• Belinda Jo Lopes
• Alexandra Saray Lopez Henriquez
• Gisela Maria Lopez Payares, M.D.
• Kiara Lopez-Giambastiani, BCBA
• Alexandra Lopez

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.