Active NPI
SW Therapy & Rehab Inc.
- Massage Therapist
- Folsom, CA
National Provider Identifier
1891164570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 37527
- Legal business name
- SW THERAPY & REHAB INC.
- Practice address
- 149 Iron Point Rd
Folsom, CA 95630-9000 - Phone
- (916) 353-2673
- NPI assigned
- Sep 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Star A Ridsdale, N.D.
- Title
- Owner
- Phone
- (505) 239-9644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 37527 | CA | Primary |
Addresses
Primary practice location
149 Iron Point Rd
Folsom, CA 95630-9000
Mailing address
10900 Tanzanite Dr NW
Albuquerque, NM 87114-1853
Phone (505) 239-9644
National Provider Directory
National Provider Directory- Tax ID family
- Southwest Therapy Rehabilitation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Rio Rancho, NM
- NPI 1134299555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442966400000",
"number": "1891164570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10900 TANZANITE DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871141853",
"telephone_number": "505-239-9644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 IRON POINT RD",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956309000",
"telephone_number": "916-353-2673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SW THERAPY & REHAB INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-23",
"last_updated": "2015-09-23",
"status": "A",
"authorized_official_last_name": "RIDSDALE",
"authorized_official_first_name": "STAR",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-239-9644",
"authorized_official_credential": "N.D."
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CA",
"license": "37527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.