Organization Active NPI

Bloom Spa Therapy LLC

  • Massage Therapist
  • Farmingdale, NY
National Provider Identifier
1508620535
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
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

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Melissa C Arguello FloresNPI 1053173229
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)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.