Organization Active NPI

SW Therapy & Rehab Inc.

  • Massage Therapist
  • Folsom, CA
National Provider Identifier
1891164570
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
37527 Issued in CA
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

Updated by the provider on Sep 23, 2015

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)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.