Active NPI
Stephanie Teitsort, CMT/LMT
- Massage Therapist
- Port Hueneme, CA
National Provider Identifier
1891574885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 94624
- Practice address
- 1019 Oriole Dr
Port Hueneme, CA 93041-4211 - Phone
- (843) 597-9003
- NPI assigned
- Sep 27, 2023
- Last updated
- Sep 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 94624 | CA | Primary |
Addresses
Primary practice location
1019 Oriole Dr
Port Hueneme, CA 93041-4211
Mailing address
1019 Oriole Dr
Port Hueneme, CA 93041-4211
Phone (843) 597-9003
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
| License | State | Type | Specialty |
|---|---|---|---|
| 94624 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1891574885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 ORIOLE DR",
"city": "PORT HUENEME",
"state": "CA",
"postal_code": "930414211",
"telephone_number": "843-597-9003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 ORIOLE DR",
"city": "PORT HUENEME",
"state": "CA",
"postal_code": "930414211",
"telephone_number": "843-597-9003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEITSORT",
"first_name": "STEPHANIE",
"credential": "CMT/LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-27",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "94624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Hueneme, CA
- Brian Michael Strahl, IDC
- Barbara Ruth Strong Doreo, DC MS
- Katie Marie Sugar, DMD
- Andrew Sullivan, D.O.
- Tariq H.Alsamaan D.D.S.Dental Corp
- Regina Tellez, LVN
- Thrifty Payless Inc (Rite Aid Pharmacy 05782)
- Trucare Non-Emergency Transportation
- Sandrickia Lazell Turner, LVN
- Underwater Construction Team Two
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.