Jupiter Wellness LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

JUPITER WELLNESS LLC

Practice address

777 NE 7TH St Ste 101
Grants Pass, OR 97526-1632

Phone

(541) 414-3998

NPI assigned

Oct 26, 2021

Last updated

Oct 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandi Ariel Lynch, LMTNPI 1518629930

Title

Owner

Phone

(530) 598-4316

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Brandi Ariel Lynch, LMT

  • Massage Therapist
  • Grants Pass, OR
  • NPI 1518629930
  NPD Authorized official

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1255095162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NE 7TH ST STE 101",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261632",
            "telephone_number": "541-414-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NE 7TH ST STE 101",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261632",
            "telephone_number": "541-414-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "ARIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-598-4316",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.