Lotus Blossom Wellness LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

LOTUS BLOSSOM WELLNESS LLC

Practice address

4512 SE Lee Blvd
Lawton, OK 73501-6558

Phone

(580) 860-6104

NPI assigned

Dec 11, 2025

Last updated

Aug 18, 2026By 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

Stephanie Jill Goldman, LMTNPI 1902611999

Title

Owner

Phone

(580) 402-4097

Specialties & licenses 2

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.

• Stephanie Jill Goldman, LMT

  • Massage Therapist
  • Lawton, OK
  • NPI 1902611999
  NPD Authorized official

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1366306615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 SE LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735016558",
            "telephone_number": "580-860-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4512 SE LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735016558",
            "telephone_number": "580-860-6104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4514 SE Lee Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735016558",
            "country_code": "US",
            "telephone_number": "580-860-6104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOTUS BLOSSOM WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-402-4097",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Denise Lopez, LPN
• Melinda Lopez, LBP
• Michelen Lopez
• San Juanita Lopez, BS
• Michael Alan Lorentz I
• Mona Kay Louangaphay
• Louisiana Em-I Medical Services, P.a.
• Essence Love
• John Love III
• Robert Milton Love, MD

• Massage Therapist in Lawton, OK
• Providers in Lawton, OK by specialty
• Massage Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.