SPORTS MEDICINE INSTITUTE INTERNATIONAL NPI 1003448614

Massage Therapist in Palo Alto, CA

Organization Massage Therapist

About SPORTS MEDICINE INSTITUTE INTERNATIONAL

Sports Medicine Institute International is a provider established in Palo Alto, California specializing in massage therapist. The NPI number of Sports Medicine Institute International is 1003448614 and was assigned on February 2020. The practitioner's primary taxonomy code is 225700000X. The provider is registered as an organization and their NPI record was last updated February 2020. Sports Medicine Institute International operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mrs. Kendra Fadil (Executive Director)

NPI

1003448614

Provider NameSPORTS MEDICINE INSTITUTE INTERNATIONAL
Provider Location Address260 SHERIDAN AVE STE B40 PALO ALTO, CA 94306
Provider Mailing Address260 SHERIDAN AVE STE B40 PALO ALTO, CA 94306
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-11-2020
Last Update Date02-11-2020

Primary Taxonomy

Taxonomy Code225700000X
ClassificationMassage Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy DescriptionAn individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Business Address

SPORTS MEDICINE INSTITUTE INTERNATIONAL
260 SHERIDAN AVE STE B40
PALO ALTO, CA
ZIP 94306
Phone: (650) 322-2809
Fax: (650) 325-6980

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Mailing Address

SPORTS MEDICINE INSTITUTE INTERNATIONAL
260 SHERIDAN AVE STE B40
PALO ALTO, CA
ZIP 94306
Phone: (650) 322-2809
Fax: (650) 325-6980

Authorized Official

Authorized Official NameMRS. KENDRA FADIL
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(650) 322-2809

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1171100000XOther Service ProvidersAcupuncturistNo

Taxonomy Description: an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.