NPIMap

Organization Active NPI

Prodigo Day Spa, LLC

  • Massage Therapist
  • Harleysville, PA
National Provider Identifier
1235622234
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
PRODIGO DAY SPA, LLC
Practice address
439 Main St
Harleysville, PA 19438-4321
Phone
(215) 256-1191
NPI assigned
Jun 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Authorized official

Name
Tara Lieberher
Title
President
Phone
(215) 416-8295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X PA Primary

Addresses

Primary practice location

439 Main St
Harleysville, PA 19438-4321

Mailing address

439 Main St
Harleysville, PA 19438-4321
Phone (215) 256-1191

National Provider Directory

National Provider Directory

Locations

439 Main St
Harleysville, PA 19438
Phone (215) 256-1191

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1235622234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 MAIN ST",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194384321",
            "telephone_number": "215-256-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 MAIN ST",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194384321",
            "telephone_number": "215-256-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIGO DAY SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "LIEBERHER",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-416-8295"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harleysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.