NPIMap

Organization Active NPI

Pure Life Massage Therapy and Spa

  • Massage Therapist
  • Montgomery, AL
National Provider Identifier
1376387654
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
PURE LIFE MASSAGE THERAPY AND SPA
Practice address
8437 Crossland Loop
Montgomery, AL 36117-8485
Phone
(334) 463-9391
Fax
(334) 649-1077
NPI assigned
Jun 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Latoyia Vines, RNNPI 1780491498
Title
Owner/Practice Manager
Phone
(334) 463-9391

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

8437 Crossland Loop
Montgomery, AL 36117-8485

Mailing address

9306 Verdin CT
Montgomery, AL 36117-8823
Phone (334) 294-5456

Other names 1

  • Pure Life Massage and Spa Other name

National Provider Directory

National Provider Directory

Locations

8437 Crossland Loop
Montgomery, AL 36117
Phone (334) 463-9391

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": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1376387654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9306 VERDIN CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178823",
            "telephone_number": "334-294-5456",
            "fax_number": "334-649-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8437 CROSSLAND LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178485",
            "telephone_number": "334-463-9391",
            "fax_number": "334-649-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE LIFE MASSAGE THERAPY AND SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "VINES",
        "authorized_official_first_name": "LATOYIA",
        "authorized_official_title_or_position": "OWNER/PRACTICE MANAGER",
        "authorized_official_telephone_number": "334-463-9391",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Life Massage and Spa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.