Organization Active NPI

Serenity RX Spa, LLC

Doing business as Serenity Rx Spa

  • Massage Therapist
  • Virginia Beach, VA
National Provider Identifier
1275358889
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SERENITY RX SPA, LLC
Doing business as
Serenity Rx Spa
Practice address
3096 Brickhouse CT
Virginia Beach, VA 23452-6859
Phone
(757) 278-6033
NPI assigned
Nov 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Mr. Larry Deangelo Harris
Title
Operations Manager
Phone
(757) 348-6315

Specialties & licenses 1

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

Addresses

Primary practice location

3096 Brickhouse CT
Virginia Beach, VA 23452-6859

Mailing address

3096 Brickhouse CT
Virginia Beach, VA 23452-6859
Phone (757) 278-6033

Other names 1

  • Serenity Rx Spa Doing business as

National Provider Directory

National Provider Directory

Locations

3096 Brickhouse Ct
Virginia Beach, VA 23452
Phone (757) 278-6033

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": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1275358889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3096 BRICKHOUSE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526859",
            "telephone_number": "757-278-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3096 BRICKHOUSE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526859",
            "telephone_number": "757-278-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY RX SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "DEANGELO",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "757-348-6315",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Rx Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.