Active NPI
Desiree Pooley, CMT
- Massage Therapist
- Rohnert Park, CA
National Provider Identifier
1831672401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 68238
- Practice address
- 5850 Commerce Blvd Ste C2
Rohnert Park, CA 94928-1621 - Phone
- (707) 430-0055
- NPI assigned
- Sep 10, 2018
- 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 | 68238 | CA | Primary |
Addresses
Primary practice location
5850 Commerce Blvd Ste C2
Rohnert Park, CA 94928-1621
Mailing address
245 Pear LN
Santa Rosa, CA 95407-7672
Phone (707) 410-8766
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1831672401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 PEAR LN",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954077672",
"telephone_number": "707-410-8766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 COMMERCE BLVD STE C2",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949281621",
"telephone_number": "707-430-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLEY",
"first_name": "DESIREE",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "68238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rohnert Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.