Individual provider Active NPI

Alicia Olson Lamb, LMT

  • Massage Therapist
  • Chula Vista, CA
National Provider Identifier
1962096412
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
43020 Issued in CA
Practice address
821 Kuhn Dr Ste 107
Chula Vista, CA 91914-4508
Phone
(619) 397-1391
NPI assigned
Feb 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 43020 CA Primary

Addresses

Primary practice location

821 Kuhn Dr Ste 107
Chula Vista, CA 91914-4508

Mailing address

1790 S Point Dr
Bonita, CA 91902-4047
Phone (619) 869-3164

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Alicia@sportsperformancept.com Health Information Exchange (HIE)
Direct Messaging Address Alicia@sportsperformancept.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
43020CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Performance Physical Therapy Inc CurrentSince Mar 4, 2021 Accepting new patients

Locations

821 Kuhn Dr
Ste 107
Chula Vista, CA 91914
Phone (619) 397-1391

Interoperability endpoints

  • Direct secure messaging: alicia@sportsperformancept.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1962096412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 S POINT DR",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919024047",
            "telephone_number": "619-869-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 KUHN DR STE 107",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144508",
            "telephone_number": "619-397-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMB",
        "first_name": "ALICIA",
        "middle_name": "OLSON",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "43020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Alicia@sportsperformancept.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "821 Kuhn Dr Ste 107",
            "city": "Chula Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919144508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Alicia@sportsperformancept.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "821 Kuhn Dr Ste 107",
            "city": "Chula Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919144508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.