Vitality Medical Massage & Bodywork LLC.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MSG010383 Issued in PA

Legal business name

VITALITY MEDICAL MASSAGE & BODYWORK LLC.

Practice address

2580 Constitution Blvd
Beaver Falls, PA 15010-1294

Phone

(724) 944-9103

NPI assigned

Jul 8, 2018

Organization subpart

No

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

Authorized official

Name

Jennife R Lynn Patton, LMT, MMPNPI 1790144954

Title

Owner/Operator

Phone

(724) 944-9103

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jennifer Lynn Patton, LMT, MMP

  • Massage Therapist
  • Beaver Falls, PA
  • NPI 1790144954

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1531008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531008000000",
    "number": "1174019657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 BLACKHAWK RD",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150109011",
            "telephone_number": "724-944-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 CONSTITUTION BLVD",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101294",
            "telephone_number": "724-944-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MEDICAL MASSAGE & BODYWORK LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-08",
        "last_updated": "2018-07-08",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "JENNIFE R",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "724-944-9103",
        "authorized_official_credential": "LMT, MMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG010383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Beaver Falls, PA
• Providers in Beaver Falls, PA by specialty
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2018; 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.