Organization Active NPI

Lush Bodyworx LLC

  • Massage Therapist
  • Montgomery, TX
National Provider Identifier
1023888906
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
LUSH BODYWORX LLC
Practice address
208 McCowan St Ste 102
Montgomery, TX 77356-4433
Phone
(832) 758-2563
NPI assigned
Jan 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Rena Stratton, LMTNPI 1275383150
Title
Owner
Phone
(832) 758-2563

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

208 McCowan St Ste 102
Montgomery, TX 77356-4433

Mailing address

19293 Mary LN
Montgomery, TX 77316-2633
Phone (832) 758-2563

Other practice location 1

494 League Line Rd Ste 102
Conroe, TX 77303-2061
Phone (936) 931-8296

National Provider Directory

National Provider Directory

Locations

494 League Line Rd
Ste 102
Conroe, TX 77303
Phone (936) 931-8296

208 McCowan St
Ste 102
Montgomery, TX 77356
Phone (832) 422-5445

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": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1023888906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19293 MARY LN",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773162633",
            "telephone_number": "832-758-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MCCOWAN ST STE 102",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773564433",
            "telephone_number": "832-758-2563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "494 League Line Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773032061",
            "country_code": "US",
            "telephone_number": "936-931-8296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUSH BODYWORX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "STRATTON",
        "authorized_official_first_name": "RENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-758-2563",
        "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 Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.