Organization Active NPI

Radiant Spa, LLC

  • Massage Therapist
  • Orlando, FL
National Provider Identifier
1376027276
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
RADIANT SPA, LLC
Doing business as
Radiant
Practice address
2909 N Orange Ave Ste 104
Orlando, FL 32804-4639
Phone
(407) 494-2272
NPI assigned
Sep 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Mrs. Melissa Sonnenschein, LMTNPI 1841770500
Title
Manager
Phone
(407) 494-2272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2909 N Orange Ave Ste 104
Orlando, FL 32804-4639

Mailing address

2909 N Orange Ave Ste 104
Orlando, FL 32804-4639
Phone (407) 494-2272

Other names 1

  • Radiant Doing business as

National Provider Directory

National Provider Directory

Locations

2909 N Orange Ave
Ste 104
Orlando, FL 32804
Phone (407) 244-1221

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": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1376027276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 N ORANGE AVE STE 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044639",
            "telephone_number": "407-494-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 N ORANGE AVE STE 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044639",
            "telephone_number": "407-494-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "SONNENSCHEIN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-494-2272",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.