NPIMap

Organization Active NPI

Relax Renew Rejuvenate LLC

  • Massage Therapist
  • Smithfield, NC
National Provider Identifier
1508436387
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
RELAX RENEW REJUVENATE LLC
Practice address
3560 US Highway 301 S
Smithfield, NC 27577-9495
Phone
(919) 710-9895
Fax
(919) 205-1532
NPI assigned
Jun 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
McKinley Bernard KnightNPI 1013550771
Title
Owner
Phone
(919) 710-9895

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 TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

3560 US Highway 301 S
Smithfield, NC 27577-9495

Mailing address

PO Box 2962
Smithfield, NC 27577-2962
Phone (919) 710-9895

National Provider Directory

National Provider Directory

Locations

3560 US Highway 301 S
Smithfield, NC 27577
Phone (919) 710-9895

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1508436387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2962",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275772962",
            "telephone_number": "919-710-9895",
            "fax_number": "919-205-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 US HIGHWAY 301 S",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779495",
            "telephone_number": "919-710-9895",
            "fax_number": "919-205-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELAX RENEW REJUVENATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "MCKINLEY",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-710-9895"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.