NPIMap

Organization Active NPI

Imotion Wellness and Fitness

  • Massage Therapist
  • Fremont, CA
National Provider Identifier
1881208726
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
IMOTION WELLNESS AND FITNESS
Practice address
555 Mowry Ave Ste a
Fremont, CA 94536-4101
Phone
(510) 431-2190
Fax
(510) 939-8040
NPI assigned
Sep 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Dr. Pratik Shah, DPTNPI 1972510725
Title
Owner
Phone
(510) 431-2190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

555 Mowry Ave Ste a
Fremont, CA 94536-4101

Mailing address

555 Mowry Ave Ste a
Fremont, CA 94536-4101
Phone (510) 431-2190

National Provider Directory

National Provider Directory

Locations

555 Mowry Ave
Ste A
Fremont, CA 94536
Phone (510) 431-2190

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1881208726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MOWRY AVE STE A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364101",
            "telephone_number": "510-431-2190",
            "fax_number": "510-939-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MOWRY AVE STE A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364101",
            "telephone_number": "510-431-2190",
            "fax_number": "510-939-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMOTION WELLNESS AND FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PRATIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-431-2190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.