Active NPI
Pikunjit Donkonchum Freeman, CMT
- Massage Therapist
- San Diego, CA
National Provider Identifier
1740095686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 86072
- Practice address
- 7841 Balboa Ave Ste 204
San Diego, CA 92111-2313 - Phone
- (619) 876-8033
- NPI assigned
- Feb 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 86072 | CA | Primary |
Addresses
Primary practice location
7841 Balboa Ave Ste 204
San Diego, CA 92111-2313
Mailing address
7841 Balboa Ave Ste 204
San Diego, CA 92111-2313
Phone (619) 876-8033
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86072 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1740095686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7841 BALBOA AVE STE 204",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921112313",
"telephone_number": "619-876-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7841 BALBOA AVE STE 204",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921112313",
"telephone_number": "619-876-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "PIKUNJIT",
"middle_name": "DONKONCHUM",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-10",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "86072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.