Individual provider Active NPI

Julie Q Criner, MT

  • Massage Therapist
  • Chula Vista, CA
National Provider Identifier
1972228492
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
40704 Issued in CA
Practice address
265 E St
Chula Vista, CA 91910-2930
Phone
(858) 294-3865
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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 40704 CA Primary

Addresses

Primary practice location

265 E St
Chula Vista, CA 91910-2930

Mailing address

4102 Arroyo Way
National City, CA 91950-8246

Other practice location 1

1727 Sweetwater Rd Ste 117
National City, CA 91950-7651
Phone (619) 354-7471

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
40704CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Physical Therapy and Wellness Professional Corporation CurrentSince Oct 9, 2022 Accepting new patients
Therapy Resources Inc. PastSince Jan 18, 2011 Accepting new patients

Locations

265 E St
Chula Vista, CA 91910
Phone (650) 799-6878

Organizations & group practices 2

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": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1972228492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 ARROYO WAY",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919508246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 E ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102930",
            "telephone_number": "858-294-3865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1727 Sweetwater Rd Ste 117",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919507651",
            "country_code": "US",
            "telephone_number": "619-354-7471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRINER",
        "first_name": "JULIE",
        "middle_name": "Q",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "40704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 6, 2022; 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.