Organization Active NPI

Otg Wellness Spa

  • Clinic/Center
  • Denver, CO
National Provider Identifier
1396656633
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OTG WELLNESS SPA
Practice address
2121 S Oneida St Ste 150
Denver, CO 80224-2500
Phone
(303) 369-1979
NPI assigned
Sep 15, 2026
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Latashanna Madison
Title
Owner
Phone
(303) 369-1979

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Massage Therapist 225700000X NU

Addresses

Primary practice location

2121 S Oneida St Ste 150
Denver, CO 80224-2500

Mailing address

2121 S Oneida St Ste 150
Denver, CO 80224-2500
Phone (303) 369-1979

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1396656633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S ONEIDA ST STE 150",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242500",
            "telephone_number": "303-369-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S ONEIDA ST STE 150",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242500",
            "telephone_number": "303-369-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTG WELLNESS SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "LATASHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-369-1979"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.