Organization Active NPI

Blue Day Spa Inc

  • Massage Therapist
  • Bokeelia, FL
National Provider Identifier
1063109288
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BLUE DAY SPA INC
Practice address
5503 Pine Island Rd NW Ste a
Bokeelia, FL 33922-3211
Phone
(407) 367-8765
NPI assigned
Apr 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Claudia GundersenNPI 1871299602
Title
Owner
Phone
(407) 367-8765

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

5503 Pine Island Rd NW Ste a
Bokeelia, FL 33922-3211

Mailing address

927 NE 17TH Ter
Cape Coral, FL 33909-8907
Phone (407) 367-8765

National Provider Directory

National Provider Directory

Locations

5503 Pine Island Rd NW
Ste A
Bokeelia, FL 33922
Phone (407) 367-8765

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": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1063109288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 NE 17TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339098907",
            "telephone_number": "407-367-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 PINE ISLAND RD NW STE A",
            "city": "BOKEELIA",
            "state": "FL",
            "postal_code": "339223211",
            "telephone_number": "407-367-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE DAY SPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "GUNDERSEN",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-367-8765"
    },
    "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 Bokeelia, FL

Sources for this page

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