Organization Active NPI

Ardebe Therapy

  • Massage Therapist
  • Virginia Beach, VA
National Provider Identifier
1427609379
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ARDEBE THERAPY
Practice address
1213 Laskin Rd Ste 202
Virginia Beach, VA 23451-5260
Phone
(757) 621-9615
NPI assigned
Sep 23, 2019
Last updated
Sep 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Authorized official

Name
Ms. Randi D Bradley, MMP, LMT, CMT, RMNPI 1639644511
Title
Owner
Phone
(757) 621-9615

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 Therapist 225700000X NU Primary

Addresses

Primary practice location

1213 Laskin Rd Ste 202
Virginia Beach, VA 23451-5260

Mailing address

426 Rennie CT
Virginia Beach, VA 23454-3946
Phone (757) 621-9615

National Provider Directory

National Provider Directory

Locations

1213 Laskin Rd
Ste 202
Virginia Beach, VA 23451
Phone (732) 682-9299

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1427609379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 RENNIE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543946",
            "telephone_number": "757-621-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 LASKIN RD STE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515260",
            "telephone_number": "757-621-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDEBE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "RANDI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-621-9615",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MMP, LMT, CMT, RM"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.