Organization Active NPI

Pink Lotus Healing, Inc

  • Massage Therapist
  • Daytona Beach, FL
National Provider Identifier
1093450298
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
PINK LOTUS HEALING, INC
Practice address
112 Orange Ave Ste 200
Daytona Beach, FL 32114-4338
Phone
(386) 898-4967
NPI assigned
May 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Cathleen Bellerose, LPN, CMT, MMT, MLD-CNPI 1427662816
Title
Owner/Operator
Phone
(386) 898-4967

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

112 Orange Ave Ste 200
Daytona Beach, FL 32114-4338

Mailing address

112 Orange Ave Ste 200
Daytona Beach, FL 32114-4338
Phone (386) 627-7777

Other names 1

  • Pink Lotus Therapeutics Doing business as

National Provider Directory

National Provider Directory

Locations

112 Orange Ave
Ste 200
Daytona Beach, FL 32114
Phone (386) 500-6703

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": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1093450298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ORANGE AVE STE 200",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144338",
            "telephone_number": "386-627-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ORANGE AVE STE 200",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144338",
            "telephone_number": "386-898-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK LOTUS HEALING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "BELLEROSE",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "386-898-4967",
        "authorized_official_credential": "LPN, CMT, MMT, MLD-C"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pink Lotus Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.