Charlotte Jean Redmon, CMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

1796 Issued in CA

Practice address

57475 29 Palms Hwy
Suite 101
Yucca Valley, CA 92284-2906

Phone

(760) 365-9878

Fax

(206) 309-0387

NPI assigned

Jul 5, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Charlotte Jean Villegas Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278288000000",
    "number": "1811209083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57475 29 PALMS HWY",
            "address_2": "SUITE 101",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842906",
            "telephone_number": "760-365-9878",
            "fax_number": "206-309-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57475 29 PALMS HWY",
            "address_2": "SUITE 101",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842906",
            "telephone_number": "760-365-9878",
            "fax_number": "206-309-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMON",
        "first_name": "CHARLOTTE",
        "middle_name": "JEAN",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-05",
        "last_updated": "2010-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "CA",
            "license": "1796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED MASSAGE THERAPIST",
            "identifier": "1796",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "VILLEGAS",
            "middle_name": "JEAN",
            "prefix": "MRS.",
            "credential": "CMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laura E Ransdell, LCSW
• Bernadette Ransom
• Gail Yvonne Rauschenberg, D.C.
• Re-Enlist to Life
• Jylissa Redling
• Laura Deanne Reed, AMFT
• Christopher C Reid
• Ashlee Renczkowski
• Joel Stuart Resnick
• Retina Institute of California Medical Group

• Mechanotherapist in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Mechanotherapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2010; 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.