Trina Jane Physick, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

31983 Issued in CA

Practice address

550 Pacific Coast Hwy
Seal Beach, CA 90740-5999

Phone

(562) 319-3139

NPI assigned

Aug 8, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1982183182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4164 ELIZABETH CT",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304119",
            "telephone_number": "562-319-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PACIFIC COAST HWY",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405999",
            "telephone_number": "562-319-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHYSICK",
        "first_name": "TRINA",
        "middle_name": "JANE",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "31983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lien Chau Thuy Phan
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• Vivian Thu-Van Phan, RPH
• Philip P. Nguyen, DDS Inc.
• Kevin Phung
• Abelardo Pita, MD
• Douglas Jeffrey Poff, D.C.
• Prakash Narain, MD, Inc
• Joanne Marie Puleo, D.C.
• Ralphs Grocery Company

• Massage Therapist in Seal Beach, CA
• Providers in Seal Beach, 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 8, 2018; 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.