Organization Active NPI

Body Well Retreat LLC

  • Massage Therapist
  • Rochester, NY
National Provider Identifier
1003509050
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BODY WELL RETREAT LLC
Practice address
97 Park Avenue
Suite D
Rochester, NY 14607-2431
Phone
(585) 210-3439
Fax
(585) 486-7789
NPI assigned
May 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Ms. Brenda Ovando, LMTNPI 1811583594
Title
Owner/Lead Massage Therapist
Phone
(585) 210-3439

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

97 Park Avenue
Suite D
Rochester, NY 14607-2431

Mailing address

97 Park Avenue
Suite D
Rochester, NY 14607-2431
Phone (585) 210-3439

National Provider Directory

National Provider Directory

Locations

97 Park Ave
Ste D
Rochester, NY 14607
Phone (585) 210-3439

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": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1003509050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 PARK AVENUE",
            "address_2": "SUITE D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072431",
            "telephone_number": "585-210-3439",
            "fax_number": "585-486-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 PARK AVENUE",
            "address_2": "SUITE D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072431",
            "telephone_number": "585-210-3439",
            "fax_number": "585-486-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY WELL RETREAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "OVANDO",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER/LEAD MASSAGE THERAPIST",
        "authorized_official_telephone_number": "585-210-3439",
        "authorized_official_name_prefix": "Ms.",
        "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": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.