Irene Radley, CMT, CMLDT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

27705 Issued in CA

Practice address

2204 Garnet Ave Ste 202
San Diego, CA 92109-3771

Phone

(619) 786-3033

NPI assigned

Nov 23, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lemon Grove Yoga and Massage LLC

  • Massage Therapist
  • San Diego, CA
  • NPI 1265152623
  NPD Authorized official

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1831809367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 COLFAX DR",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919454419",
            "telephone_number": "619-786-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 GARNET AVE STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093771",
            "telephone_number": "619-786-3033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7733 Palm St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lemon Grove",
            "state": "CA",
            "postal_code": "919452968",
            "country_code": "US",
            "telephone_number": "858-444-2194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADLEY",
        "first_name": "IRENE",
        "credential": "CMT, CMLDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "27705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiology Medical Group Inc
• Radiology Professional Solutions, PC
• Jan Rodger Radke, MD
• Judith L. Radke, MD
• Timothy A. Radke, MD
• Radoy Radoev
• Allison Radoff
• Natasha Radojevic, PSYD
• Belinda Radovich, LCSW
• Nicoleta Victoria Radulescu

• Massage Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.