Individual provider Active NPI

Trava Peter Faust, CMT

  • Massage Therapist
  • Redwood City, CA
National Provider Identifier
1780229161
Registry record updated Nov 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
72927 Issued in CA
Practice address
838 Main St Ste 2
Redwood City, CA 94063-1902
Phone
(707) 228-9736
NPI assigned
Nov 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2019

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 72927 CA Primary

Addresses

Primary practice location

838 Main St Ste 2
Redwood City, CA 94063-1902

Mailing address

1441 Beach Park Blvd Apt 111
Foster City, CA 94404-1966
Phone (707) 228-9736

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
72927CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573257600000",
    "number": "1780229161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 BEACH PARK BLVD APT 111",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041966",
            "telephone_number": "707-228-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 MAIN ST STE 2",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631902",
            "telephone_number": "707-228-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETER FAUST",
        "first_name": "TRAVA",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-09",
        "last_updated": "2019-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "72927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2019; 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.