Organization Active NPI

Divine Essence Spa LLC

  • Point of Service
  • South Yarmouth, MA
National Provider Identifier
1497648190
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
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

Updated by the provider on May 31, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.