Individual provider Active NPI

Evelyn Yvonne McGriff

  • Massage Therapist
  • Redlands, CA
National Provider Identifier
1730908575
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
77956 Issued in CA
Practice address
1455 W Park Ave
Redlands, CA 92373-8178
Phone
(909) 793-2225
Fax
(909) 793-2221
NPI assigned
Oct 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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 77956 CA Primary

Addresses

Primary practice location

1455 W Park Ave
Redlands, CA 92373-8178

Mailing address

1455 W Park Ave
Redlands, CA 92373-8178
Phone (909) 793-2225

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

Practice roles

OrganizationSpecialtyStatusNew patients
Redlands Spine and Sport CurrentSince Oct 13, 2024 Accepting new patients

Locations

1455 W Park Ave
Redlands, CA 92373
Phone (909) 793-2225

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1730908575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 W PARK AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738178",
            "telephone_number": "909-793-2225",
            "fax_number": "909-793-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 W PARK AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738178",
            "telephone_number": "909-793-2225",
            "fax_number": "909-793-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRIFF",
        "first_name": "EVELYN",
        "middle_name": "YVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "77956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.