Organization Active NPI

Unclogged Wells, LLC

Doing business as Unclogged Wells

  • Massage Therapist
  • Stamford, CT
National Provider Identifier
1225750474
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
UNCLOGGED WELLS, LLC
Doing business as
Unclogged Wells
Practice address
127 Greyrock PL Apt 704
Stamford, CT 06901-3107
Phone
(203) 252-9859
NPI assigned
Sep 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Mrs. Wenshy Preval, LMTNPI 1366173122
Title
Owner
Phone
(203) 252-9859

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

127 Greyrock PL Apt 704
Stamford, CT 06901-3107

Mailing address

127 Greyrock PL Apt 704
Stamford, CT 06901-3107
Phone (203) 252-9859

Other names 1

  • Unclogged Wells Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL uncloggedwells@gmail.com
SOAP URL uncloggedwells@gmail.com

National Provider Directory

National Provider Directory

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": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1225750474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 GREYROCK PL APT 704",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013107",
            "telephone_number": "203-252-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 GREYROCK PL APT 704",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013107",
            "telephone_number": "203-252-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCLOGGED WELLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "PREVAL",
        "authorized_official_first_name": "WENSHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-252-9859",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "uncloggedwells@gmail.com",
            "affiliation": "N",
            "address_1": "127 GREYROCK PL",
            "address_2": "704",
            "city": "Stamford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "uncloggedwells@gmail.com",
            "affiliation": "N",
            "address_1": "127 GREYROCK PL",
            "address_2": "704",
            "city": "Stamford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Unclogged Wells",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.