NPIMap

Organization Active NPI

Spa Remedease, LLC

  • Massage Therapist
  • Hood River, OR
National Provider Identifier
1104354133
Registry record updated Jun 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
20521 Issued in OR
Legal business name
SPA REMEDEASE, LLC
Practice address
4000 Westcliff Dr
Hood River, OR 97031-8711
Phone
(541) 387-8451
NPI assigned
Jun 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2017

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

Authorized official

Name
Martina Rizzo, LMTNPI 1679942650
Title
Owner
Phone
(603) 991-3195

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 20521 OR Primary

Addresses

Primary practice location

4000 Westcliff Dr
Hood River, OR 97031-8711

Mailing address

1058 High Prairie Rd
Lyle, WA 98635-9449
Phone (603) 991-3195

Other names 1

  • Spa Remedease Doing business as

National Provider Directory

National Provider Directory

Locations

4000 Westcliff Dr
Hood River, OR 97031
Phone (541) 387-8451

Practitioners & affiliated clinicians

Practitioners 4

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": "1496448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496448000000",
    "number": "1104354133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 HIGH PRAIRIE RD",
            "city": "LYLE",
            "state": "WA",
            "postal_code": "986359449",
            "telephone_number": "16039913195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WESTCLIFF DR",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970318711",
            "telephone_number": "541-387-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPA REMEDEASE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-03",
        "last_updated": "2017-06-03",
        "status": "A",
        "authorized_official_last_name": "RIZZO",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-991-3195",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "20521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spa Remedease",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2017; 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.