Active NPI
Divine Essence Spa LLC
- Point of Service
- South Yarmouth, MA
National Provider Identifier
1497648190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- Legal business name
- DIVINE ESSENCE SPA LLC
- Practice address
- 822 Route 28 Ste a&100B
South Yarmouth, MA 02664-5276 - Phone
- (508) 775-6961
- Fax
- (508) 775-6961
- NPI assigned
- May 31, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Sherlock, LMT
- Title
- Massage Therapist
- Phone
- (508) 775-6961
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | Primary |
Addresses
Primary practice location
822 Route 28 Ste a&100B
South Yarmouth, MA 02664-5276
Mailing address
63 Arrowhead Dr
Hyannis, MA 02601-2415
Phone (508) 775-6961
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748649600000",
"number": "1497648190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 ARROWHEAD DR",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026012415",
"telephone_number": "508-775-6961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 ROUTE 28 STE A&100B",
"city": "SOUTH YARMOUTH",
"state": "MA",
"postal_code": "026645276",
"telephone_number": "508-775-6961",
"fax_number": "508-775-6961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE ESSENCE SPA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-31",
"last_updated": "2025-05-31",
"certification_date": "2025-05-31",
"status": "A",
"authorized_official_last_name": "SHERLOCK",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "MASSAGE THERAPIST",
"authorized_official_telephone_number": "508-775-6961",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Yarmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.