Organization Active NPI

Gods Lion Divine Massage & Fitness

  • Massage Therapist
  • Colorado Springs, CO
National Provider Identifier
1356883227
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
11350 Issued in CO
Legal business name
GODS LION DIVINE MASSAGE & FITNESS
Practice address
5446 N Academy Blvd
Suite 104
Colorado Springs, CO 80918-3668
Phone
(719) 354-8347
Fax
(719) 265-5221
NPI assigned
Nov 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Kristin L Jones
Title
President/Provider
Phone
(719) 354-8347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 11350 CO Primary

Addresses

Primary practice location

5446 N Academy Blvd
Suite 104
Colorado Springs, CO 80918-3668

Mailing address

5446 N Academy Blvd
Suite 104
Colorado Springs, CO 80918-3668
Phone (719) 354-8347

National Provider Directory

National Provider Directory

Locations

5446 N Academy Blvd
Ste 104
Colorado Springs, CO 80918
Phone (719) 354-8347

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1356883227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5446 N ACADEMY BLVD",
            "address_2": "SUITE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183668",
            "telephone_number": "719-354-8347",
            "fax_number": "719-265-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5446 N ACADEMY BLVD",
            "address_2": "SUITE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183668",
            "telephone_number": "719-354-8347",
            "fax_number": "719-265-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODS LION DIVINE MASSAGE & FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "719-354-8347"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "11350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.