Teresa Olivia Fallon, ADN, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

85355 Issued in CA

Practice address

726 Mendocino Ave
Santa Rosa, CA 95401-4804

Phone

(707) 548-1970

Fax

(707) 867-1243

NPI assigned

Jan 29, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1922699107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 STONY POINT RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954077343",
            "telephone_number": "707-548-1970",
            "fax_number": "707-867-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 MENDOCINO AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014804",
            "telephone_number": "707-548-1970",
            "fax_number": "707-867-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLON",
        "first_name": "TERESA",
        "middle_name": "OLIVIA",
        "name_prefix": "Ms.",
        "credential": "ADN, CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "85355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Elizabeth Fairfield
• Meer Arush Fakhry, DO
• Tanine Falatoonzadeh, AMFT, APCC
• Kurt Falkenberg, P.T.
• Samuel Falkenberg, PT
• Dana Elizabeth Falls, M.A., MFT
• Mark David Falls, PHD
• Family Service Agency of Sonoma County
• Amy G Famini, NP
• Yunfei Fan, D.D.S

• Massage Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.