Active NPI
Body Well Retreat LLC
- Massage Therapist
- Rochester, NY
National Provider Identifier
1003509050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Brenda Ovando, LMT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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 DirectoryLocations
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.
-
- Massage Therapist
- Rochester, NY
- NPI 1811583594
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.