Connie Fung, CMT/MLDT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

840 E Green St Unit 416
Pasadena, CA 91101-5434

Phone

(818) 693-0774

NPI assigned

May 24, 2023

Last updated

May 24, 2023By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cfi Medical Group

  dba MLD Therapy and Wellness

  • Massage Therapist
  • Pasadena, CA
  • NPI 1083306252
  NPD

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1952093270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E GREEN ST UNIT 416",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911015434",
            "telephone_number": "818-693-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E GREEN ST UNIT 416",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911015434",
            "telephone_number": "818-693-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "CONNIE",
        "name_prefix": "Miss",
        "credential": "CMT/MLDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Anne Fullmore
• Akira Funahashi, OTR/L, OTD
• Bert K. Funatsu, D.D.S.
• Kathleen Melissa Funes
• Clara Fung
• John Funke
• Furman Medical Corporation
• Anchel Furman, M.D.
• Yoshio Jimmy Furuya, MA
• Claire Eiko Futenma, D.P.M.

• Massage Therapist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.