Individual provider Active NPI

Wandah Kay, LMT

  • Massage Therapist
  • Long Beach, CA
National Provider Identifier
1831781194
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
595625-10 Issued in CA
Practice address
300 E 4TH St Ste 132
Long Beach, CA 90802-0414
Phone
(562) 294-1187
Fax
(562) 684-0621
NPI assigned
Feb 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 595625-10 CA Primary

Addresses

Primary practice location

300 E 4TH St Ste 132
Long Beach, CA 90802-0414

Mailing address

PO Box 91708
Los Angeles, CA 90009-1708
Phone (818) 284-5444

Other practice location 1

2955 Cobb Pkwy SE Ste 118
Atlanta, GA 30339-3520
Phone (562) 294-1187

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
595625-10CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
It'S All About You Corporate Chair and Table Massage Massage Therapist CurrentSince Oct 22, 2023 Accepting new patients

Locations

2955 Cobb Pkwy SE
Ste 301
Atlanta, GA 30339
Phone (562) 294-1187

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": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1831781194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91708",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900091708",
            "telephone_number": "818-284-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 4TH ST STE 132",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908020414",
            "telephone_number": "562-294-1187",
            "fax_number": "562-684-0621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2955 Cobb Pkwy SE Ste 118",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303393520",
            "country_code": "US",
            "telephone_number": "562-294-1187",
            "fax_number": "562-684-0621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAY",
        "first_name": "WANDAH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "595625-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.