Organization Active NPI

Flourish Self Care Studio PLLC

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1386375418
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
FLOURISH SELF CARE STUDIO PLLC
Practice address
417 E Pine St Ste P
Seattle, WA 98122-2378
Phone
(206) 954-2242
NPI assigned
Jun 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Authorized official

Name
Dr. Kelly Perona, DC
Title
Owner
Phone
(206) 954-2242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

417 E Pine St Ste P
Seattle, WA 98122-2378

Mailing address

417 E Pine St Ste P
Seattle, WA 98122-2378
Phone (206) 954-2242

Other names 1

  • Flourish Wellness & Medical Massage Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address billing@flourishchiropracticspa.com Direct

National Provider Directory

National Provider Directory

Locations

417 E Pine St
Ste P
Seattle, WA 98122
Phone (206) 851-2242

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1386375418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E PINE ST STE P",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222378",
            "telephone_number": "206-954-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E PINE ST STE P",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222378",
            "telephone_number": "206-954-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH SELF CARE STUDIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "PERONA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-954-2242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@flourishchiropracticspa.com",
            "affiliation": "N",
            "endpointDescription": "billing@flourishchiropracticspa.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "417 E Pine St Ste P",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981222378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Flourish Wellness & Medical Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.