Active NPI
Priscilla Davis, CMT
- Massage Therapist
- La Verne, CA
National Provider Identifier
1972960938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15946
- Practice address
- 3847 Emerald Ave
La Verne, CA 91750-2904 - Phone
- (626) 502-7003
- NPI assigned
- Jan 21, 2016
- 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 | 15946 | CA | Primary |
Addresses
Primary practice location
3847 Emerald Ave
La Verne, CA 91750-2904
Mailing address
770 E. San Bernardino Rd #3
Covina, CA 91723
Phone (626) 502-7003
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 |
|---|---|---|---|
| 15946 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453334400000",
"number": "1972960938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 E. SAN BERNARDINO RD #3",
"city": "COVINA",
"state": "CA",
"postal_code": "91723",
"telephone_number": "626-502-7003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3847 EMERALD AVE",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917502904",
"telephone_number": "626-502-7003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "PRISCILLA",
"name_prefix": "Mrs.",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-21",
"last_updated": "2016-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "15946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.