Organization Active NPI

Reisch Group LLC ( Dba Spa Wellness Services)

  • Massage Therapist
  • Boynton Beach, FL
National Provider Identifier
1003435223
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
REISCH GROUP LLC ( DBA SPA WELLNESS SERVICES)
Practice address
9066 Paragon Way
Boynton Beach, FL 33472-3347
Phone
(561) 697-8800
NPI assigned
Apr 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Nicolette White, LMTNPI 1043830268
Title
Owner
Phone
(305) 498-5618

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

9066 Paragon Way
Boynton Beach, FL 33472-3347

Mailing address

Boynton Beach, Florida
9066 Paragon Way
Boynton Beach, FL 33472
Phone (305) 498-5618

Other practice location 1

5922 Okeechobee Blvd
West Palm Beach, FL 33417-4324
Phone (561) 697-8800

Other names 1

  • Spa Wellness Services (Massages to go) Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1003435223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOYNTON BEACH, FLORIDA",
            "address_2": "9066 PARAGON WAY",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33472",
            "telephone_number": "305-498-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9066 PARAGON WAY",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334723347",
            "telephone_number": "561-697-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5922 Okeechobee Blvd",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334174324",
            "country_code": "US",
            "telephone_number": "561-697-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REISCH GROUP LLC ( DBA SPA WELLNESS SERVICES)",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "NICOLETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-498-5618",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spa Wellness Services (Massages to go)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spa Wellness Services (Massages to go)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.