Soft Tissue and Myofascial Treatment Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SOFT TISSUE AND MYOFASCIAL TREATMENT INC

Practice address

920 Pacific Ave
Crescent City, CA 95531

Phone

(707) 951-3754

Fax

(209) 521-0955

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Merri Lea Hoff

Title

Director of Operations

Phone

(707) 951-3754

Specialties & licenses 1

Addresses

Other names 1

• Myofascial Treatment Center Doing business as

Tax ID family

Myofascial Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Soft Tissue & Myofascial Treatment Inc.

  • Physical Therapy Clinic/Center
  • Modesto, CA
  • NPI 1730346420
  NPD tax ID

Practitioners 1

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

• Rich-Allana Mauree Nichols, CMT

  • Massage Therapist
  • Crescent City, CA
  • NPI 1649980038
  NPD (past)

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1699459115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 PACIFIC AVE",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "95531",
            "telephone_number": "707-951-3754",
            "fax_number": "209-521-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 PACIFIC AVE",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "95531",
            "telephone_number": "707-951-3754",
            "fax_number": "209-521-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFT TISSUE AND MYOFASCIAL TREATMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "HOFF",
        "authorized_official_first_name": "MERRI LEA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "707-951-3754",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myofascial Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Dawn Smith
• Gregg Lewis Smith, MD
• William Patrick Smith, CRNA
• Mara E Snider, MA
• Heather Snow, LCSW
• Sound Inpatient Physicians Medical Group, Inc
• Shelley Allison Sovola, L.AC.,OMD
• Saundra Sue Squires, LMFT
• SRS-Crescent City, LLC
• Mark St James, RN

• Massage Therapist in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.