Individual provider Active NPI

Kevin John McAlerney, BS, CMT, NCBTMB

  • Massage Therapist
  • Arcata, CA
National Provider Identifier
1669619391
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
23713 Issued in CA
Practice address
770 11TH Street
Lost Coast Healing Arts
Arcata, CA 95521
Phone
(707) 633-4991
Fax
(224) 365-3981
NPI assigned
Jan 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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 23713 CA Primary

Addresses

Primary practice location

770 11TH Street
Lost Coast Healing Arts
Arcata, CA 95521

Mailing address

1080 8TH St
#16
Arcata, CA 95521-6167
Phone (707) 633-4991

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
Credentials
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1669619391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 8TH ST",
            "address_2": "#16",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216167",
            "telephone_number": "707-633-4991",
            "fax_number": "224-365-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 11TH STREET",
            "address_2": "LOST COAST HEALING ARTS",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "95521",
            "telephone_number": "707-633-4991",
            "fax_number": "224-365-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALERNEY",
        "first_name": "KEVIN",
        "middle_name": "JOHN",
        "credential": "BS, CMT, NCBTMB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-16",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "23713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.