La de Da Body Spa, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA78414 Issued in FL

Legal business name

LA DE DA BODY SPA, LLC

Practice address

2022 E Robinson St
Orlando, FL 32803-6045

Phone

(407) 900-5937

NPI assigned

Dec 26, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Heather Lynn Cegielski, LMT,MMPNPI 1295190858

Title

Owner/Massage Therapist

Phone

(407) 900-5937

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Heather Lynn Cegielski, LMT,MMP

  • Massage Therapist
  • Orlando, FL
  • NPI 1295190858
  NPD (past) Authorized official

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

{
    "created_epoch": "1451088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451088000000",
    "number": "1013372648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 E ROBINSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328036045",
            "telephone_number": "407-900-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 E ROBINSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328036045",
            "telephone_number": "407-900-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA DE DA BODY SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-26",
        "last_updated": "2015-12-26",
        "status": "A",
        "authorized_official_last_name": "CEGIELSKI",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "407-900-5937",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT,MMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA78414",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "MA78414",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMT # MA78414",
            "identifier": "MA78414",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2015; 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.