Trish L Pruitt, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

35893 Issued in CA

Practice address

1648 E Herndon Ave Ste 106
Fresno, CA 93720-3381

Phone

(559) 432-7222

Fax

(559) 432-7541

NPI assigned

Aug 9, 2013

Last updated

Aug 9, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Body del Sol Medical Spa

  • Naturopath
  • Fresno, CA
  • NPI 1588097968
  NPD (past)

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1982037263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 E HERNDON AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203381",
            "telephone_number": "559-432-7222",
            "fax_number": "559-432-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 E HERNDON AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203381",
            "telephone_number": "559-432-7222",
            "fax_number": "559-432-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "TRISH",
        "middle_name": "L",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-09",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "35893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "35893",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Providence Home Health Services LLC
• Providian Residential Care Services, Inc. (Fillmore Christian Garden)
• Benjamin James Pruett, D.O.
• Bradley Pruett, DC
• Shawna Pruitt
• James Daniel Pryce, LCSW
• Daijaree Mahaylia Pryor
• Nancy Annette Pryor, COTA
• Riana R Pryor, PHD, ATC
• Shawneta Yane Pryor

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.