Go Spa Wellness

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

GO SPA WELLNESS

Practice address

341 James Cir
Lake Alfred, FL 33850-2753

Phone

(863) 449-0929

NPI assigned

Apr 10, 2023

Organization subpart

No

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

Authorized official

Name

Loraine GordonNPI 1942371885

Title

Owner/Massage Therapist

Phone

(863) 449-0929

Specialties & licenses 1

Addresses

Other names 1

• Go Spa Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Loraine Gordon, LMT, CNA

  • Massage Therapist
  • Lake Alfred, FL
  • NPI 1942371885
  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1497440846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 JAMES CIR",
            "city": "LAKE ALFRED",
            "state": "FL",
            "postal_code": "338502753",
            "telephone_number": "863-449-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 JAMES CIR",
            "city": "LAKE ALFRED",
            "state": "FL",
            "postal_code": "338502753",
            "telephone_number": "863-449-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO SPA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "LORAINE",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "863-449-0929"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Go Spa",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Savares Dormeus, RN
• Lavonna J Duncan
• Sentoria R Euline
• Sheri Annette Follis, PTA
• Jeff Gallichan, PTA
• Loraine Gordon, LMT, CNA
• Kelley M. Griffin
• Nadiyah Guerrier
• Richard Murphy Hanley, DPM
• Marcos Antonio Hernandez, RN

• Massage Therapist in Lake Alfred, FL
• Providers in Lake Alfred, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.