Pure Bodywork

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

PURE BODYWORK

Practice address

2905 Stanford Ave
Marina del Rey, CA 90292-5524

Phone

(310) 396-6800

NPI assigned

Jan 10, 2024

Organization subpart

No

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

Authorized official

Name

Southida HowardNPI 1033995063

Title

Proprietor

Phone

(310) 396-6800

Specialties & licenses 3

Addresses

Other names 1

• Pure Bodywork Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Southida Howard

  • Massage Therapist
  • Marina del Rey, CA
  • NPI 1033995063
  NPD Authorized official

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1104697945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11072",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902957072",
            "telephone_number": "310-849-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 STANFORD AVE",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925524",
            "telephone_number": "310-396-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "SOUTHIDA",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "310-396-6800"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Bodywork",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nadezhda Protasovitskaya, NP
• Carlos Alberto Protzel, LCSW, PSYD
• Providence Healthcare Inc
• Brett Andrew Pugh, DPT
• Moorea Pugliese, PMHNP-BC
• Uwanda Purnell
• Annemarie Quadrino
• Jorge Antonio Quel, M.D.
• Linda Quesada-Schlein, LMFT
• Ashley Quinn

• Massage Therapist in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.