Active NPI
Susan Rene Powell
- Massage Therapist
- Concord, CA
National Provider Identifier
1972435485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4209
- Practice address
- 1401 Civic CT
Concord, CA 94520-5553 - Phone
- (925) 301-9179
- NPI assigned
- May 30, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 4209 | CA | Primary |
Addresses
Primary practice location
1401 Civic CT
Concord, CA 94520-5553
Mailing address
1960 Treadway LN
Pleasant Hill, CA 94523-3312
Phone (925) 285-7807
Other names 1
- Susan Rene Powell
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4209 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780099200000",
"number": "1972435485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1960 TREADWAY LN",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945233312",
"telephone_number": "925-285-7807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 CIVIC CT",
"city": "CONCORD",
"state": "CA",
"postal_code": "945205553",
"telephone_number": "925-301-9179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "SUSAN",
"middle_name": "RENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-30",
"last_updated": "2026-05-30",
"certification_date": "2026-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "4209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "POWELL",
"middle_name": "RENE",
"credential": "CMT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.