NPIMap

Organization Active NPI

Sustainability Wellness, LLC

Doing business as Sustainability Wellness

  • Massage Therapist
  • Towson, MD
National Provider Identifier
1053805564
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M05929 Issued in MD
Legal business name
SUSTAINABILITY WELLNESS, LLC
Doing business as
Sustainability Wellness
Practice address
8415 Bellona LN Ste 202
Towson, MD 21204-2066
Phone
(443) 846-6009
NPI assigned
Jun 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Authorized official

Name
Mr. Eric S. Jones Williams, LMTNPI 1841780723
Title
Licensed Massage Therapist/Owner
Phone
(443) 846-6009

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: 193200000X MULTI-SPECIALTY GROUP 225700000X M05929 MD Primary

Addresses

Primary practice location

8415 Bellona LN Ste 202
Towson, MD 21204-2066

Mailing address

8415 Bellona LN Ste 202
Towson, MD 21204-2066
Phone (443) 846-6009

Other names 1

  • Sustainability Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sustainability Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1053805564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 BELLONA LN STE 202",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042066",
            "telephone_number": "443-846-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 BELLONA LN STE 202",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042066",
            "telephone_number": "443-846-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSTAINABILITY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "JONES WILLIAMS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST/OWNER",
        "authorized_official_telephone_number": "443-846-6009",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M05929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sustainability Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.