Organization Active NPI

Vitality Bodywork, LLC

  • Clinic/Center
  • Bainbridge Island, WA
National Provider Identifier
1447930334
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VITALITY BODYWORK, LLC
Practice address
490 Madison Ave N Ste 101
Bainbridge Island, WA 98110-1871
Phone
(425) 466-9290
NPI assigned
Jul 24, 2023
Last updated
Jul 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Sonya BennettNPI 1053105866
Title
Owner
Phone
(425) 466-9290

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 2

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

Addresses

Primary practice location

490 Madison Ave N Ste 101
Bainbridge Island, WA 98110-1871

Mailing address

1646 Jeannette PL NW
Bainbridge Is, WA 98110-1655
Phone (425) 466-9290

National Provider Directory

National Provider Directory

Locations

435 Ericksen Ave NE
Ste 104
Bainbridge Island, WA 98110

490 Madison Ave N
Ste 101
Bainbridge Island, WA 98110
Phone (425) 466-9290

Practitioners & affiliated clinicians

Practitioners 2

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": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1447930334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 JEANNETTE PL NW",
            "city": "BAINBRIDGE IS",
            "state": "WA",
            "postal_code": "981101655",
            "telephone_number": "425-466-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 MADISON AVE N STE 101",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101871",
            "telephone_number": "425-466-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY BODYWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-466-9290"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.