NPIMap

Organization Active NPI

Tea Spa Wellness LLC

  • Massage Therapist
  • Rockville, MD
National Provider Identifier
1245081074
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
TEA SPA WELLNESS LLC
Practice address
12222 Rockville Pike
Rockville, MD 20852-5617
Phone
(240) 669-7761
NPI assigned
Mar 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Ms. Cathy ShaoNPI 1578314845
Title
Ceo
Phone
(443) 465-4633

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: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

12222 Rockville Pike
Rockville, MD 20852-5617

Mailing address

9717 Wilden LN
Potomac, MD 20854-2054

Other practice location 1

209 Market St West
Gaithersburg, MD 20878
Phone (301) 208-1003

Other names 1

  • Tea Spa Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

209 Market St W
Gaithersburg, MD 20878
Phone (301) 208-1003

12222 Rockville Pike
Rockville, MD 20852
Phone (240) 669-7761

Practitioners & affiliated clinicians

Practitioners 3

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": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1245081074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9717 WILDEN LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 ROCKVILLE PIKE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208525617",
            "telephone_number": "240-669-7761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Market St West",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "20878",
            "country_code": "US",
            "telephone_number": "301-208-1003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEA SPA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "SHAO",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-465-4633",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tea Spa Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.