Organization Active NPI

Body Wellness LLC

  • Massage Therapist
  • Durango, CO
National Provider Identifier
1194060020
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
10805 Issued in CO
Legal business name
BODY WELLNESS LLC
Practice address
463 Turner Dr
Ste 104B
Durango, CO 81303-7981
Phone
(970) 946-0292
NPI assigned
Dec 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Scott JaphetNPI 1033484670
Title
Owner
Phone
(970) 946-0292

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 10805 CO Primary

Addresses

Primary practice location

463 Turner Dr
Ste 104B
Durango, CO 81303-7981

Mailing address

121 W 28TH St
Durango, CO 81301-5915
Phone (970) 946-0292

National Provider Directory

National Provider Directory

Locations

463 Turner Dr
Ste 104B
Durango, CO 81303
Phone (970) 946-0292

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": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1194060020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W 28TH ST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015915",
            "telephone_number": "970-946-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 TURNER DR",
            "address_2": "STE 104B",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813037981",
            "telephone_number": "970-946-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "JAPHET",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-946-0292"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "10805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.