Individual provider Active NPI

Kasumi Frisch

  • Massage Therapist
  • Chicago, IL
National Provider Identifier
1811501018
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
64575 Issued in CA
Practice address
5240 N Sheridan Rd Apt 910
Chicago, IL 60640-2598
Phone
(415) 613-4262
NPI assigned
Sep 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 227020729 IL
Massage Therapist 225700000X 64575 CA Primary

Addresses

Primary practice location

5240 N Sheridan Rd Apt 910
Chicago, IL 60640-2598

Mailing address

9150 Chesapeake Dr Ste 120
San Diego, CA 92123-1097
Phone (619) 542-0884

Other practice location 1

1115 Beverly St
San Diego, CA 92114-1116
Phone (415) 613-4262

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
64575CAMDMassage Therapist
227020729ILMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1811501018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 CHESAPEAKE DR STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231097",
            "telephone_number": "619-542-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 N SHERIDAN RD APT 910",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402598",
            "telephone_number": "415-613-4262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Beverly St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921141116",
            "country_code": "US",
            "telephone_number": "415-613-4262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRISCH",
        "first_name": "KASUMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227020729",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "64575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.