Organization Active NPI

The Cottage Day Spa

  • Massage Therapist
  • Fort Pierce, FL
National Provider Identifier
1114784162
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
THE COTTAGE DAY SPA
Practice address
100 S 2ND St Unit 203
Fort Pierce, FL 34950-4306
Phone
(772) 812-3263
NPI assigned
Mar 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Marcelina Damian Nunez, LMTNPI 1245005008
Title
Massage Therapist
Phone
(772) 812-3263

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

100 S 2ND St Unit 203
Fort Pierce, FL 34950-4306

Mailing address

100 S 2ND St Unit 203
Fort Pierce, FL 34950-4306
Phone (772) 812-3263

Other names 1

  • Massages by Marcelina Doing business as

National Provider Directory

National Provider Directory

Locations

100 S 2nd St
Unit 203
Fort Pierce, FL 34950
Phone (772) 812-3263

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": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1114784162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S 2ND ST UNIT 203",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504306",
            "telephone_number": "772-812-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 2ND ST UNIT 203",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504306",
            "telephone_number": "772-812-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COTTAGE DAY SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "DAMIAN NUNEZ",
        "authorized_official_first_name": "MARCELINA",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "772-812-3263",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Massages by Marcelina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.