Organization Active NPI

Rooted Republic LLC

  • Massage Therapist
  • Morgan Hill, CA
National Provider Identifier
1982440251
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ROOTED REPUBLIC LLC
Practice address
25 W 1St St Ste B
Morgan Hill, CA 95037-4559
Phone
(408) 607-7430
NPI assigned
Jul 5, 2024
Last updated
Jul 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
Miss Sarah Ellingson, CMTNPI 1649008236
Title
Owner
Phone
(408) 607-7430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

25 W 1St St Ste B
Morgan Hill, CA 95037-4559

Mailing address

1344 Disc Dr
Sparks, NV 89436-0684
Phone (408) 607-7430

National Provider Directory

National Provider Directory

Locations

25 W 1st St
Ste B
Morgan Hill, CA 95037
Phone (408) 607-7430

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1982440251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 DISC DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894360684",
            "telephone_number": "408-607-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W 1ST ST STE B",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374559",
            "telephone_number": "408-607-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED REPUBLIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "ELLINGSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-607-7430",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.