Organization Active NPI

Bella Terra Massage & Wellness Center LLC

  • Massage Therapist
  • Puyallup, WA
National Provider Identifier
1295597599
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BELLA TERRA MASSAGE & WELLNESS CENTER LLC
Practice address
1503 W Stewart
Puyallup, WA 98371-5149
Phone
(253) 848-6844
NPI assigned
Jan 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Christina Antongiovanni, LMT
Title
Director
Phone
(253) 848-6844

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

1503 W Stewart
Puyallup, WA 98371-5149

Mailing address

1503 W Stewart
Puyallup, WA 98371-5149

Other names 1

  • Bella Terra Spa & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1503 W Stewart
Puyallup, WA 98371
Phone (253) 848-6844

Practitioners & affiliated clinicians

Practitioners 2

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": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1295597599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 W STEWART",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 W STEWART",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715149",
            "telephone_number": "253-848-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA TERRA MASSAGE & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "ANTONGIOVANNI",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "253-848-6844",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Terra Spa & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.