Individual provider Active NPI

Brenda Veronica Hartman, MASSAGE THERAPIST

  • Massage Therapist
  • National City, CA
National Provider Identifier
1760156905
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
9185 Issued in CA
Practice address
1727 Sweetwater Rd Ste 117
National City, CA 91950-7651
Phone
(619) 434-2063
Fax
(619) 336-0102
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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 9185 CA Primary

Addresses

Primary practice location

1727 Sweetwater Rd Ste 117
National City, CA 91950-7651

Mailing address

1727 Sweetwater Rd Ste 117
National City, CA 91950-7651
Phone (619) 434-2063

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

LicenseStateTypeSpecialty
9185CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Resources Inc. CurrentSince Aug 8, 2021 Accepting new patients

Locations

1727 Sweetwater Rd
Ste 117
National City, CA 91950
Phone (619) 203-3051

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": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1760156905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 SWEETWATER RD STE 117",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919507651",
            "telephone_number": "619-434-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 SWEETWATER RD STE 117",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919507651",
            "telephone_number": "619-434-2063",
            "fax_number": "619-336-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "BRENDA",
        "middle_name": "VERONICA",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "9185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.