Mobility Spa LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MOBILITY SPA LLC

Practice address

2300 N Pershing Dr Ste 201
Arlington, VA 22201-1428

Phone

(703) 646-8848

NPI assigned

Dec 19, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Amanda Luiza Silva, LMTNPI 1508405903

Title

Owner/Founder/LMT

Phone

(703) 965-6802

Specialties & licenses 1

Addresses

Other names 1

• Emerald Massage Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Silva, LMT

  • Massage Therapist
  • Arlington, VA
  • NPI 1508405903
  NPD Authorized official

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1366080467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CANTERBURY SQ APT 302",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043049",
            "telephone_number": "703-965-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N PERSHING DR STE 201",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222011428",
            "telephone_number": "703-646-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LUIZA",
        "authorized_official_title_or_position": "OWNER/FOUNDER/LMT",
        "authorized_official_telephone_number": "703-965-6802",
        "authorized_official_name_prefix": "Ms.",
        "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": [
        {
            "organization_name": "Emerald Massage Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Mirabela
• Laura Miner Miskimins, M.S.W.
• Albert Mitchell III
• Ashley Shanta Mitchell, LCSW
• Tiffany Monique Mitchell
• Rohit M. Modak, M.D.
• Modern Mind Therapy & Life Coaching LLC
• Moements, PLLC
• Nargess Moghaddam Maragheh, LPC
• Gabriel Ibrahim Mohammed Jr.

• All providers in Arlington, VA
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.