Active NPI
Reisch Group LLC ( Dba Spa Wellness Services)
- Massage Therapist
- Boynton Beach, FL
National Provider Identifier
1003435223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicolette White, LMT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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)
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Boynton Beach, FL
- NPI 1043830268
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.