Active NPI
Bloom Spa Therapy LLC
- Massage Therapist
- Farmingdale, NY
National Provider Identifier
1508620535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- BLOOM SPA THERAPY LLC
- Practice address
- 208 Aiport Plaza Blvd, Salons by JC
Suite 11
Farmingdale, NY 11735 - Phone
- (347) 306-6974
- NPI assigned
- Feb 9, 2024
- 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
- Melissa C Arguello Flores
- Title
- Ceo/Massage Therapist
- Phone
- (347) 306-6974
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
208 Aiport Plaza Blvd, Salons by JC
Suite 11
Farmingdale, NY 11735
Mailing address
208 Aiport Plaza Blvd
Farmingdale, NY 11735
National Provider Directory
National Provider DirectoryLocations
208 Airport Plaza Blvd
Ste 11
Farmingdale, NY 11735
Phone (347) 306-6974
208 Airport Plaza Blvd
Farmingdale, NY 11735
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Farmingdale, NY
- NPI 1053173229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707436800000",
"number": "1508620535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 AIPORT PLAZA BLVD",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "11735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 AIPORT PLAZA BLVD, SALONS BY JC",
"address_2": "SUITE 11",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "11735",
"telephone_number": "347-306-6974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOOM SPA THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-09",
"last_updated": "2024-02-09",
"certification_date": "2024-02-08",
"status": "A",
"authorized_official_last_name": "ARGUELLO FLORES",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO/MASSAGE THERAPIST",
"authorized_official_telephone_number": "347-306-6974"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.