Active NPI
Redwood Beauty & Wellness
- Massage Therapist
- Philadelphia, PA
National Provider Identifier
1194598466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- REDWOOD BEAUTY & WELLNESS
- Practice address
- 441 Lyceum Ave FL 1
Philadelphia, PA 19128-3418 - Phone
- (215) 688-7255
- NPI assigned
- Oct 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawn M McCall
- Title
- Ceo
- Phone
- (267) 335-3153
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
441 Lyceum Ave FL 1
Philadelphia, PA 19128-3418
Mailing address
441 Lyceum Ave FL 1
Philadelphia, PA 19128-3418
Phone (215) 688-7255
National Provider Directory
National Provider DirectoryLocations
441 Lyceum Ave
#1
Philadelphia, PA 19128
Phone (215) 688-7255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698624000000",
"number": "1194598466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 LYCEUM AVE FL 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191283418",
"telephone_number": "215-688-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 LYCEUM AVE FL 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191283418",
"telephone_number": "215-688-7255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDWOOD BEAUTY & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-30",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A",
"authorized_official_last_name": "MCCALL",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "267-335-3153"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.