IndividualActive
Praphaiphan(maria) Wongsuwan-Xenophontos, MASSAGE THERAPIST
NPI 1124847892 · Massage Therapist · Riverside, CA
Provider details
- NPI number
- 1124847892
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MASSAGE THERAPIST
- Sex
- Female
- Sole proprietor
- Yes
- License
- 66452 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1735 Spruce St Ste E
Riverside, CA 92507-2352
Phone: (627) 421-8875
Street-level locationGet directions
Mailing address
1303 E Central Ave Unit B
Redlands, CA 92374-4010
Registry dates
- Enumerated
- 2024-10-09
- Last updated
- 2026-04-12
- Certified
- 2026-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.