Organization Active NPI

Inner Peace Spa LLC

  • Massage Therapist
  • Mercedes, TX
National Provider Identifier
1073375267
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
INNER PEACE SPA LLC
Doing business as
Inner Peace Spa LLC
Practice address
5001 E Expressway 83 Ste 812
Mercedes, TX 78570-4584
Phone
(956) 903-0123
NPI assigned
Jan 24, 2024
Last updated
Jan 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Melissa Castillo, ME,LMT
Title
Owner
Phone
(956) 903-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

5001 E Expressway 83 Ste 812
Mercedes, TX 78570-4584

Mailing address

5001 E Expressway 83 Ste 812
Mercedes, TX 78570-4584
Phone (956) 903-0123

Other names 1

  • Inner Peace Spa LLC Doing business as

National Provider Directory

National Provider Directory

Locations

5001 E Expressway 83
Ste 812
Mercedes, TX 78570
Phone (956) 903-0123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1073375267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 E EXPRESSWAY 83 STE 812",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785704584",
            "telephone_number": "956-903-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 E EXPRESSWAY 83 STE 812",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785704584",
            "telephone_number": "956-903-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER PEACE SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-903-0123",
        "authorized_official_credential": "ME,LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Peace Spa LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mercedes, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.