PRN Medical Massage

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

PRN MEDICAL MASSAGE

Practice address

455 Donna Drive
Windsor, CA 95492-9636

Phone

(707) 527-7959

Fax

(707) 527-7959

NPI assigned

Sep 13, 2021

Organization subpart

No

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

Authorized official

Name

Chip Dale Smith, MMP, HE, ANMT, CMT

Title

Owner

Phone

(707) 527-7959

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1922777960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 18",
            "city": "FULTON",
            "state": "CA",
            "postal_code": "954390018",
            "telephone_number": "707-527-7959",
            "fax_number": "707-527-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 DONNA DRIVE",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954929636",
            "telephone_number": "707-527-7959",
            "fax_number": "707-527-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN MEDICAL MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHIP",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-527-7959",
        "authorized_official_credential": "MMP, HE, ANMT, CMT"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO OTHER IDENTIFIER",
            "identifier": "NONE",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physiotherapy Associates Inc
• Veronica Pineda de Galli, LCSW
• Sally Pooler, PT
• Megan Poulsen, PA
• Jennifer L Price, D.C.
• Asish Purushan, LMFT
• Rael Bernstein DDS Apc (Bernstein Orthodontics)
• Raleys
• Jennifer Rasore
• Ingrid Johnson Redding, LMFT

• Rehabilitation Hospital Unit in Windsor, CA
• Providers in Windsor, CA by specialty
• Rehabilitation Hospital Unit in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.